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Chapter 10

Form 10-1

Transfer of Note and Lien

Notice of confidentiality rights: If you are a natural person, you may remove or strike any or all of the following information from any instrument that transfers an interest in real property before it is filed for record in the public records: your Social Security number or your driver’s license number.

Basic Information

Date:

Holder of Note and Lien (“Holder”):

Holder’s Mailing Address:

Transferee:

Transferee’s Mailing Address:

Note

Date:

Original principal amount:

Borrower:

Lender:

Unpaid principal and interest:

[Maturity date:]

Note and Lien Are Described in the Following Documents (“Lien Documents”): [include recording information]

Property (including any improvements):

Prior Lien(s): [include recording information]

Transfer of Note and Lien

Holder transfers the Note and the liens and security interests (“Lien”) on the Property granted in the Lien Documents to Transferee.

[Include if applicable: This transfer is without recourse against [and/or] without repre­sentation or warranty by Holder, except that] Holder represents that Holder is the person enti­tled to enforce the Note [include if applicable: , the Note is not overdue,] and the unpaid principal and interest on the Note are correctly stated.

Holder expressly waives and releases all present and future rights to establish or enforce the liens described in this instrument as security for payment of any future or other indebtedness.

When the context requires, singular nouns and pronouns include the plural.

   
[Name of holder]

Include acknowledgment.