CERTIFICATE OF TRANSFER COMMONWEALTH OF VIRGINIA ............................................................................................................ Virginia Circuit Court is the location of the following record referenced by this certificate: ............................................................................................... ...................................................... DATE, DEED OF TRUST/MORTGAGE/OTHER LIEN DEED BOOK NO. ..................................................................................................................... or ............................... .................................................... PAGE NO. INSTRUMENT NO. ..................................................................................................................... TAX MAP REFERENCE NUMBER PARCEL IDENTIFICATION NUMBER .............................................................................................................................................................................................................................................................. NAME(S) OF OBLIGOR(S) OR MAKER(S) .............................................................................................................................................................................................................................................................. NAME(S) OF TRUSTEE(S) Brief Description of Property: .................................................................................................................................................................................................. .............................................................................................................................................................................................................................................................. NAME OF ORIGINAL PAYEE(S) .............................................................................................................................................................................................................................................................. NAME(S), PRESENT SUBSEQUENT HOLDER(S) (IF DIFFERENT FROM ORIGINAL PAYEES) .......................................................................................... $ $ ................................................................. .............................................................................. DATE(S), NOTE(S)/BOND(S) ORIGINAL SECURED PRESENT PRINCIPAL BALANCE I/We certify that the obligations secured thereby have been assigned to .............................................................................................................................................................................................................................................................. NAME(S) OF ASSIGNEE(S) If a credit line Deed of Trust, the name and address to which notice may be mailed or delivered to the Noteholder as provided in Virginia Code § 55-58.2 is as follows: .............................................................................................................................................................................................................................................................. Such assignment is [ ] in whole or [ ] in part Given under my/our hand(s) on ......................................................................................................... ........................................................................ ___________________________________________________ (indicate amount). DATE ___________________________________________________ ___________________________________________________ [ ] ASSIGNOR(S) [ ] AGENT ATTORNEY [ ] City [ ] County of ......................................................................... State/Commonwealth of ......................................................................... The foregoing instrument was acknowledged, subscribed and sworn to before me this .................. day of ...................................................................................................... , 20 ................................. by ....................................................................................................................................................................................................................................................... NAME TITLE ..................................................................................................................... ______________________________________________________________ PRINTED NAME OF NOTARY PUBLIC SIGNATURE OF NOTARY PUBLIC (My commission expires ......................................................................... ) Registration No. ............................................................................................ This instrument was admitted to record on ............................................................................................ DATE _____________________________________ , Clerk Clerk’s fee of $ .......................................... FORM CC-1520 MASTER 05/08 VA CODE § 55-66.01 at .........................................m. TIME by ____________________________________ , Deputy Clerk has been paid. American LegalNet, Inc. www.FormsWorkflow.com