___________, of _________, State of __________, hereby certifies that a certain mortgage bearing date the _________ day of ________, 20______, executed by
__________ to __________, of ___________, upon the following real property situated in the County of _________ in the State of South Dakota, to wit, the _________, and recorded in the office of the register of deeds of said _________ County, South Dakota, in book _________ of mortgages, page _________, on the _________ day of _________,
20_______, at _________ o'clock and _________ minutes ___.M., is with the
indebtedness thereby secured, fully paid, satisfied, and discharged.
Date this __________ day of _________, 20_____.
[Signature]
[Acknowledgment]
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