FOR VALUE RECEIVED, the undersigned does hereby release
and discharge a certain security interest issued by ___________,
(Debtor) to the undersigned dated ______________, 19__.
This document shall constitute a discharge of the
obligation for which said security interest was granted and all
financing statements evidencing the same are hereby terminated.
Signed this____day of________________ , 19__.
____________________________
Use With UCC-Termination Form
Form 138
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