COMMONWEALTH OF MASSACHUSETTS TRIAL COURT LAND COURT DEPARTMENT CASE NO. __________________________________ Petition to Amend Certificate of Title by Expunging Mortgage Upon the complaint of __________________________________________________ representing that__________________________________________________ are the registered owners in Certificate of TitleNo. _________________ issued by the _____________ Registry District of ____________________ County; and further representing that said Certificate of Title No. ____________________ is encumbered by amortgage given to _______________________________________ dated ________ _________ registered asDocument No. __________________ noted on said Certificate of Title No. ________________ purporting tosecure a Note for $ __________________________ ; and further representing that said mortgage is undischarged, unassigned, unforeclosed and not legally orproperly discharged; and further representing that mortgagor or those claiming under him have been in uninterruptedpossession for a period of twenty years after the expiration of the time limited in the mortgage for the fullperformance of the conditions thereof; and praying that said Certificate of Title by amended by striking therefrom all reference to aforesaidmortgage. Signed under pains and penalties of perjury. Name: _____________________________ Address: _____________________________ _____________________________ Telephone: _____________________________FROM THE OFFICE OF: ___________________________________ ___________________________________ ___________________________________ ___________________________________ MDC -14 -web