Discharge Of Security Interest

FOR VALUE RECEIVED the undersigned does hereby release and discharge a certain security interest held by the undersigned against:

____________________________________

Dated the______ day of________________,201(X).

This document shall not constitute a discharge of any obligation for which the said security interest was granted to the undersigned.

Dated this______ day of_______________,201(x).

IN WITNESS WHEREOF the said company has hereto affixed its corporate seal, attested by the hands of its duly authorized officers, on the day and year first above written.

COMPANY NAME:

Authorized Officer_______________________

 

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