Discharge of Security Interest

DISCHARGE OF SECURITY INTEREST

FOR VALUE RECEIVED, the undersigned does hereby release
and discharge a certain security interest issued by _,
(Debtor) to the undersigned dated _, 20_.
This document ___ shall ___ shall not (check one)
constitute a discharge of any obligation for which said
security interest was granted.
Signed this _ day of _, 20_.

______________________________
Secured Party
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