AFTER RECORDING RETURN TO:

AFFIDAVIT RELEASING MORTGAGEPURSUANT

TO C.G.S. SECTION 49-8a

PREMISES AFFECTED:______,

Connecticut (the “Property”)

RECORDS OWNER(S):______

I, ______,being duly sworn, hereby depose and say:

1.I have personal knowledge of the facts stated herein. I am [ ] an attorney at law [ ] an authorized officer of a title insurance company, and I make this affidavit on behalf of and at the request of the Original Mortgagor(s), identified below, and/or the current owner(s) of the Property, identified above as “Record Owner(s).”

2.There is of record a certain mortgage from

______

[TOWN CLERK PLEASE ENTER NAME(S) IN GRANTEE INDEX]

(“Original Mortgagor[s]”)

to

______

[TOWN CLERK PLEASE INDEX ENTER NAME IN GRANTOR INDEX]

(“Original Mortgagee”)

dated ______and recorded in Volume ______, Page ______of the ______Land Records (the “Mortgage”). The Mortgage encumbers property known as ______, Connecticut (the “Property”).

3.The Mortgage has been assigned of record as follows:

a.Assignment from

______

to ______

[TOWN CLERK PLEASE ENTER NAME IN GRANTOR INDEX]

dated ______and recorded in Volume ______, Page ______of the ______Land Records.

b.Assignment from

______

to ______

[TOWN CLERK PLEASE ENTER NAME IN GRANTOR INDEX]

dated ______and recorded in Volume ______, Page ______of the ______Land Records.

OR

3.The Mortgage has not been assigned of record.

4.The following named entity has transmitted a payoff statement (as defined in Section 49-8a):

______

OR

4.The Mortgagee has not provided a payoff statement pursuant to a request for such payoff statement made under Section 49-10a

5.For purposes of this affidavit, the “Mortgagee” is

______

[TOWN CLERK PLEASE ENTER NAME IN GRANTOR INDEX]

who is

______the Original Mortgagee

______the last assignee of record of the Mortgage

______the mortgage servicer with respect to the Mortgage, such mortgage servicer being

______the last party to whom the Mortgagors have been

instructed to send payment

______the entity named as the transmitter of a payoff statement

in Paragraph 4

6.I have ascertained based on documentary evidence, copies of which are attached to this affidavit and certified by me to be true copies of the original documents, that the Mortgagee has received payment of the Mortgagein accordance with the payoff statement described in Paragraph 4, such documentary evidence being as follows:

______anegotiated bank check

______anegotiated certified check

______a negotiated attorney’s clients’ funds account check

______anegotiated title insurance company check

______confirmation of a wire transfer of funds

______other, described generally as

______

______

______

OR

6.I have ascertained based on documentary evidence, copies of which are attached to this affidavit and certified by me to be true copies of the original documents, that the Mortgagee has received payment of the Mortgage in accordance with a good faith estimate by the Original Mortgagor(s) made in the absence of a payoff statement, such documentary evidence being as follows:

______a negotiated bank check

______a negotiated certified check

______a negotiated attorney’s clients’ funds account check

______a negotiated title insurance company check

______confirmation of a wire transfer of funds

______other, described generally as

______

______

______

7.More than sixty (60) days have elapsed since payment was received by the Mortgagee.

8.At least fifteen (15) days prior to the date of this affidavit, I gave the Mortgagee written notice by registered or certified mail, postage prepaid, return receipt requested, of the intention to execute this affidavit and to cause it to be recorded, with a copy of this affidavit attached to such written notice.

9.The Mortgagee has not responded in writing to such notice.

______

Subscribed and sworn to before me this ___ day of ______, 20___, by ______.

______

Commissioner of the Superior Court

Notary Public

My commission expires: