CERTIFICATE OF PARTIAL SATISFACTION COMMONWEALTH OF VIRGINIA VA. CODE �� 55-66.3 to 55-66.6 ................................................................................................................................................................................................................................. Circuit Court is the location of the following record referenced by this certificate: .............................................................................................. ....................................................... ................................. ............................................................ DATE, DEED OF TRUST/MORTGAGE/OTHER LIEN DEED BOOK NO. PAGE NO. INSTRUMENT NO. ..................................................................................................................... TAX MAP REFERENCE NUMBER or ..................................................................................................................... PARCEL IDENTIFICATION NUMBER ............................................................................................................................................................................................................................................................. NAME(S) OF GRANTOR(S) ............................................................................................................................................................................................................................................................. NAME(S) OF TRUSTEE(S) ............................................................................................................................................................................................................................................................. [ ] Maker(s) of Note(s), Bond(s) or other Evidence(s) of Debt ............................................................................................................ DATE(S) OF NOTE(S) [ ] Grantee(s) if no Separate Evidence(s) of Debt AMOUNTS AND TOTAL OF NOTE(S) $ ............................................................................................................................... The lien of the above-mentioned deed of trust, mortgage or other lien securing the above-mentioned note is released insofar as it is applicable to ............................................................................................................................................................................................................................................................. DESCRIPTION OF PROPERTY recorded in deed book this court. ................................... at page ................................ or instrument no. ................................ in the clerk's office of The undersigned is/are the legal holder(s) of the obligation, note, bond or other evidence of debt secured by said deed of trust, mortgage or other lien. .......................................................................................... DATE ___________________________________________________________________________ ____________________________________________________________ HOLDER OF NOTE(S), BOND(S) OR OTHER EVIDENCE(S) OF DEBT [ ] City [ ] County of .................................................................. State/Commonwealth of ................................................................................ The foregoing instrument was subscribed and sworn to/affirmed before me this of ....................................................................................................... , 20 by ......................... .................... day ....................................................................................................................................................................................................................................................... HOLDER OF NOTE(S), BOND(S) OR OTHER EVIDENCE(S) OF DEBT ..................................................................................................................... PRINTED NAME OF NOTARY PUBLIC _________________________________________________________ SIGNATURE OF NOTARY PUBLIC (My commission expires ........................................................................ ) Registration No. ................................................................................... This instrument was admitted to record on ......................................................................................... DATE at ............................................... m. TIME ___________________________________ , Clerk by__________________________________________ , Deputy Clerk FORM CC-1501 MASTER 11/11 American LegalNet, Inc. www.FormsWorkFlow.com