Assignment of Mortgage

For and in consideration of Dollars ($), the receipt of which is
hereby acknowledged, of [Place], hereby grants, assigns and transfers
to [Name], of [Place] ,that certain mortgage executed by [ ], dated,
[day] [month], [year],and recorded in the office of the [Requisite
Office] of [County] County, State of [State], in Book of Mortgage, at
page, ( ), together with the note described therein and the money to become
due thereon with the interest provided therein.

IN WITNESS WHEREOF,
the undersigned has executed this assignment on [day] [month], [year]

____________________________
Signature

STATE OF

COUNTY OF

On [Date] before me, [Name], personally appeared, is personally known
to me (or proved to me on the basis of satisfactory evidence) to be
the person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon
behalf of which the person(s) acted, executed the instrument.

WITNESS my hand and official seal.

Signature__________________________

Affiant _____Known _____Unknown
ID Produced_____________________
(Seal)