STATE OF SOUTH CAROLINA ) ) COUNTY OF BEAUFORT ) ) MORTGAGOR, ) LOST MORTGAGE SATISFACTON ) ) MORTGAGEE, ) ) ) The undersigned, being the owner and holder of the Mortgage in the amount of ____________________ $ ____________________ and recorded in the Office of the Beaufort County SC Register of Deeds in Book _________ at Page __________, acknowledges that the debt which was secured hereby has been paid in full, and the lien of the mortgage is therefore satisfied and cancelled. Dated: ________________________ By: _____________________________________ WITNESSES: Typed Name &Title: ___________________________________________ ___________________________________________ ACKNOWLEDGMENT I, the undersigned Notary Public, do hereby certify that the owner and holder of the above described mortgage, by and through its duly authorized official, personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal this ______ day of ________, 200__. Signed: ____________________________________________________ Notary Public for: My commission expires: ************************************************************************************************ State of ) ) Affidavit of Lost Mortgage County of ) Personally appeared before me the undersigned, who, being duly sworn, says that the above designated owner/holder is the bona fide owner and holder of the described Mortgage; that the original Mortgage has been lost and cannot be found; and, that the Mortgage has not been assigned, hypothecated or disposed of otherwise. Sworn to before me this _________ day of ______________, 200__ By: ______________________________________ Type Name: Attest: ___________________________________ Notary Public for: My commission expires: NOTE: This form does not constitute the rendering of legal advice. It is intended for information purposes only, andsu ibs sntiotut tea for legal advice. Consult an Attorney licensed to practice law in the State of South Carolina on legal matters.