State of Michigan, in the Circuit Court for the County of.........................

In the matter of the Petition of John Doe for the Discharge of a Certain Mortgage of Record.

To the Circuit Court for the County of......................................

Your petitioner, John Doe, respectfully shows unto this Honorable Court as follows:

1. That your petitioner is the owner of the following described real estate: (here insert complete legal description of the real estate).

2. That on the....................day of...................., one John Jones was the owner of the above described property, and that on said date, he, and his said wife, Mary Jones, made and executed to William Smith, their certain mortgage for the sum of $....................upon said property, which said mortgage was on the....................day of....................recorded in liber....................of mortgages of the register of deeds of....................county, page

....................which said mortgage is undischarged of record.

3. That more than 15 years have elapsed since said mortgage became due and payable and the last payment was made thereon and that no suit or proceedings have been commenced to foreclose such mortgage.

4. That the present residence or whereabouts of the mortgagee of said mortgage is unknown to your petitioner and that your petitioner has been unable to ascertain the same, after diligent search and inquiry.

WHEREFORE your petitioner prays that an order of the court may be made discharging the said mortgage and declaring it fully paid and satisfied in accordance with Section 12715 of the Compiled Laws of the State of Michigan.

State of Michigan, County of Wayne, ss.

John Doe, being first duly sworn, deposes and states that he has read the foregoing petition by him subscribed and that the same is true of his own knowledge, except as to the matters therein stated to be upon information, and belief, and as to those matters he believes it to be true.

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Notary Public, Wayne County, Mich. My commission expires..................................................................