Release of Promissory Note

In consideration of full payment of the debt shown by the promissory note dated , which set out the terms for repayment of a loan in the original principal amount of $ (the "Note"), weI, the undersigned noteholders, of , , , , release and discharge , of , , , , from any claims or obligations arising out of the Note. This release relates only to the indebtedness evidenced by the Note and not to any other loan. 

On this _____ day of ____________, 20___, before me, the undersigned notary public, personally appeared _________________, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the state of _________________ that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.

Signature _______________________________ (notary public)