COMMONWEALTH OF MASSACHUSETTS TRIAL COURT LAND COURT DEPARTMENT

CASE NO. __________________________________

Petition to Amend Certificate of Title by Expunging Mortgage
Upon the complaint of __________________________________________________ representing that __________________________________________________ are the registered owners in Certificate of Title No. _________________ issued by the _____________ Registry District of ____________________ County; and further representing that said Certificate of Title No. ____________________ is encumbered by a mortgage given to _______________________________________ dated _________________ registered as Document No. __________________ noted on said Certificate of Title No. ________________ purporting to secure a Note for $ __________________________ ; and further representing that said mortgage is undischarged, unassigned, unforeclosed and not legally or properly discharged; and further representing that mortgagor or those claiming under him have been in uninterrupted possession for a period of twenty years after the expiration of the time limited in the mortgage for the full performance of the conditions thereof; and praying that said Certificate of Title by amended by striking therefrom all reference to aforesaid mortgage. Signed under pains and penalties of perjury. Name: Address: Telephone: FROM THE OFFICE OF: ___________________________________ ___________________________________ ___________________________________ ___________________________________
MDC -14 -web

_____________________________ _____________________________ _____________________________ _____________________________