MORTGAGE

To All People To Whom These Presents Shall Come, Greetings:

Know Ye that ______of the City / Town of ______, State of ______for the consideration of $______Dollars received to our full satisfaction of ______, organized and existing under the laws of the State of Connecticut, having it’s executive offices in______, do hereby give, grant, bargain, sell and confirm unto said ______, all that certain piece or parcel of land with the buildings thereon standing, situate in the Town/City of ______, County of ______and State of ______briefly described as No. ______. A more particular description of which premises are contained in a deed from: ______to ______dated ______, and recorded in the land records of said Town/City of ______, in volume ______page ______.

To have and to hold the above granted and bargained premises, with the appurtenances thereof, unto it the said ______, it’s successors and assigns forever, to it’s and their own proper use and behoof . And, also, the said Grantor(s) do(es) for _____ self and _____ heirs, executors and administrators covenant with said ______, it’s successors and assigns, that at and until the ensealing of these present well seized of the premises as a good and indefeasible estate in fee simple, and have good right to bargain and sell the same in manner and form as is above written and that the same are free from all encumbrances whatsoever. The condition of this deed is such that whereas Grantor(s) have/has executed and delivered to ______: (1) Indemnity Agreement to indemnify______, in connection with certain matters arising out of ______becoming surety on a Bail Bond issued for: ______, which Bail Bond is dated: ______, 20 ___; and (2) A Retail Installment Contract executed and delivered in connection with the issuance by ______, of a Bail Bond for:______, which Retail Installment Contract is dated:______.

Now Therefore, if said Bail Bond shall become null and void and if all monies due ______, under said Indemnity Agreement and said Retail Installment Contract are paid in full, then this Mortgage Deed shall become null and void, otherwise to remain in full force and effect.

In witness, ______have here unto set ______hand(s) and seal this ______day of ______20 __.

Signed, sealed and delivered in the presence of:

______

SIGNATURE SIGNATURE

______

PRINTED NAME PRINTED NAME

______

SIGNATURE SIGNATURE

______

PRINTED NAME PRINTED NAME

STATE OF }

s.s.______/____/____

COUNTY OF }

Personally appeared ______, signer and sealer of the foregoing instrument and acknowledged the same to be ______free act and deed before me.

______

Notary Public

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