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.

At a session of said court held in the................county building on the....................day of...................., A. D..............

Present: Honorable..............................................Circuit Judge.

This cause having been brought on to be heard upon the petition of John Doe filed herein praying for the discharge of a certain mortgage made and executed by John Doe and Mary

Doe, his wife, to....................on the..................day of....................

recorded in liber....................of mortgages on page....................

and the court having heard the evidence and the arguments of counsel, does by these presents hereby certify:

1st. That it satisfactorily appears to this court by the testimony of such petitioner produced in said cause, that he is the owner of the property described in and covered by said mortgage.

2nd. That said mortgage is undischarged of record and more than 15 years have passed since said mortgage debt was due and that more than 15 years have elapsed since the last payment was made upon said debt, and that no suit or proceeding has been commenced to foreclose said mortgage, and that under and by virtue of section 12715 of the Compiled Laws of the State of Michigan of 1915, said petitioner is entitled to have said mortgage satisfied and discharged of record, and that the same is hereby satisfied and discharged of record.

3rd. That this certificate may be recorded in the office of the register of deeds of....................county in like manner and with like effect in all respects as if it were a formal discharge of said mortgage duly executed by the mortgagee above named.

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Circuit Judge. Attest:

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Clerk of the....................Circuit Court.