Mortgage Discharge Statement

for Your State

This Mortgage Discharge Statement will effectively release and discharge a mortgage. The statement sets out all pertinent information including the total amount due on the payoff date. This form is for use in all states and is available for immediate download.

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For Immediate Download

$19.95 Add to Cart
Free eSignature included
with every order
Please select a state

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This Mortgage Discharge Statement effectively releases and discharges a mortgage. This statement contains all pertinent information including the name of the homeowner, the mortgage holder, description of the property and all amounts owing on the mortgage. A written Mortgage Discharge Statement will be invaluable in the event there are questions regarding the discharge of a mortgage.

This Mortgage Discharge Statement includes the following:
  • Parties and Property: Sets forth the names of the mortgage borrower and lender and a brief description of the mortgaged property;
  • Mortgage Payoff Information: Sets forth the principal amount, interest and other charges due on the payoff date;
  • Payment Information: The name of the person to whom payment should be made;
  • Signature: The mortgagee must sign and date the statement.

Protect your Rights and Property by using our professionally prepared up-to-date forms.

This attorney-prepared packet contains:
  1. General Instructions
  2. Mortgage Discharge Statement
State Law Compliance: This form complies with the laws of all states
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Mortgage Discharge Statement
 

 

Mortgagor(s):   [Name(s) of Mortgagor(s) (Homeowner(s))]
 
Mortgagee:   [Name of Mortgagee]
 
Property:   [Brief Description of Property]
 
 
Principal Balance as of [Payout Date]:
$[Principal Amount Owing]
 
 
Accrued Interest to [Payout Date]:
[Accrued Interest to Payout Date]
 
 
Other Charges ([Give Particulars]):
[Amount of Other Charges]
 
 
TOTAL:
$[Total Amount Payable on Payout Date]
 
If payment is received after [Payout Date], it shall be subject to a Per Diem payment of $[Interest per day of overdue payment] per day.
 
This Statement is valid only until [Last day of Statement Validity], and is expressly on the condition that all payments due up to and including the Payout Date are paid in full by certified cheque or bank draft.
 
Payment should be made to [Name of Person to Whom Payment Should be Made]
 
Upon payment by you as set out above, we will prepare and deliver to you a release and discharge of the Mortgage.
 
DATED:             , 20_____.
 
 
 
 
 
 
 
 
 
[NAME OF MORTGAGEE]
 
 
Number of Pages3
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#28990
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Mortgage Discharge Statement
 

 

Mortgagor(s):   [Name(s) of Mortgagor(s) (Homeowner(s))]
 
Mortgagee:   [Name of Mortgagee]
 
Property:   [Brief Description of Property]
 
 
Principal Balance as of [Payout Date]:
$[Principal Amount Owing]
 
 
Accrued Interest to [Payout Date]:
[Accrued Interest to Payout Date]
 
 
Other Charges ([Give Particulars]):
[Amount of Other Charges]
 
 
TOTAL:
$[Total Amount Payable on Payout Date]
 
If payment is received after [Payout Date], it shall be subject to a Per Diem payment of $[Interest per day of overdue payment] per day.
 
This Statement is valid only until [Last day of Statement Validity], and is expressly on the condition that all payments due up to and including the Payout Date are paid in full by certified cheque or bank draft.
 
Payment should be made to [Name of Person to Whom Payment Should be Made]
 
Upon payment by you as set out above, we will prepare and deliver to you a release and discharge of the Mortgage.
 
DATED:             , 20_____.
 
 
 
 
 
 
 
 
 
[NAME OF MORTGAGEE]
 
 

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