____________________________________________________________
(SPACE ABOVE RESERVED FOR RECORDING INFORMATION)

(RESERVED FOR NAME, ADDRESS, AND TELEPHONE NUMBER
OF PERSON PREPARING INSTRUMENT)

MORTGAGE - SHORT FORM

             This Mortgage is made on the                        (date), in the year of                      ,
between                                                                        (name), as Mortgagor(s), whose
address is                                                                                                             and
                                                                                    (name), as Mortgagee(s), whose
address is                                                                                                . Mortgagor(s)
conveys, sells and mortgages to Mortgagee(s) real estate located in
County, State of                                               , described as follows: (Legal description)

This is not a substitute for legal advice. An attorney must be consulted.
Copyright © 1994 - 2014 by LAWCHEK, LTD.

MORTGAGE SHORT FORM cont'd.

Including all buildings, structures, improvements, and fixtures now or in the future located
on the real estate during the term of this Mortgage, and together with all appurtenances,
and all revenue and income arising from such property. The street address of the Mortgage
property is .

This Mortgage secures the following obligations or indebtedness of Mortgagor(s) to
Mortgagee(s):

All words and phrases contained in this Mortgage (and the attached
Acknowledgment, if any) shall be construed in the singular, plural, masculine, feminine or
neuter according to the context in which they appear.

The rights and obligations created within this Mortgage are binding upon and to the
benefit of the parties and their legal representatives, heirs, successors, and assigns.

Additional provisions:
__________________________________________________________________
__________________________________________________________________

Date:

_______________________________ _______________________________
Mortgagor Mortgagor

_______________________________ _______________________________
Witness (If required by law) Witness (If required by law)

Attach Acknowledgment If Required By Law.