(Top 3 inches reserved for recording data) CERTIFICATE OF PARTIAL RELEASE OF MORTGAGE by Title Insurance Company or Its Agents Minn. Stat. 507.401 DATE: Minnesota Uniform Conveyancing Blanks Form 20.7.2 (2011) (month/day/year) (insert name of title insurance company or its agent) , a business entity under the laws of , hereby certifies the following: (month/day/year) 1. The mortgage being released hereby was dated as Document Number of the County Recorder (or in Book Registrar of Titles of , recorded on of (check the applicable boxes) Page County, Minnesota (the "Mortgage"). (month/day/year) ), in the Office 2. With respect to the Mortgage, the name of the a. mortgagor is b. original mortgagee is c. current servicer (if applicable) is 3. If applicable, the last assignment of the Mortgage is described as follows: Name of Assignee: assignment dated , recorded on (or in Book of (month/day/year) , ("Mortgagor"), , . , , as Document Number of Page County, Minnesota. (month/day/year) ), in the Office of the County Recorder Registrar of Titles (check the applicable boxes) 4. The Mortgage was in the original principal amount of $1,500,000.00 or less; 5. The person executing the certificate of release is an officer or a duly appointed agent of a title insurance company authorized and licensed to transact the business of insuring titles to interests in real property in this state pursuant to Minn. Stat. 68A; 6. The certificate of release is made on behalf of the Mortgagor or a person who acquired title from the Mortgagor to all or a part of the property described in the Mortgage; 7. The mortgagee or current servicer provided a payoff statement which was used to make partial payment of the unpaid balance of the loan secured by the Mortgage; Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Minnesota Uniform Conveyancing Blanks Form 20.7.2 8. Partial payment of the unpaid balance of the loan secured by the Mortgage was made in accordance with the written or verbal payoff statement; and, 9. This certificate of release affects only a portion of the land encumbered by the Mortgage. The legal description of the portion being released is as follows: Check here if all or part of the described real property is Registered (Torrens) 10. of County, Minnesota. (Complete if by agent) Appointment of agent filed recorded as Document Number Page ), in the Office of the County Recorder Registrar of Titles of (check the applicable boxes) (or in Book Title Insurance Company or its Agent (name of Title Insurance Company or its Agent) By: (signature) Its: By: (type of authority) (signature) Its: State of Minnesota, County of This instrument was acknowledged before me on (month/day/year) (type of authority) , by as (name of authorized signer) (type of authority) and by as (type of authority) (name of authorized signer) of (name of Title Insurance Company or its Agent) . (Stamp) (signature of notarial officer) Title (and Rank): My commission expires: (month/day/year) THIS INSTRUMENT WAS DRAFTED BY: (insert name and address) American LegalNet, Inc. www.FormsWorkFlow.com