No particular phrasing of an affidavit of satisfaction is required. The following form of affidavit, when properly completed, is sufficient to satisfy the requirements of section 143c(a).
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(Date of Affidavit)
AFFIDAVIT OF SATISFACTION
1. The undersigned hereby states as follows:1. I am: [check appropriate box]□ an officer or a duly appointed agent of [Name of title insurance company] (the “Company”), which is authorized to transact the business of insuring titles to interests in real property in this state, and I have been authorized by the Company to sign and submit for recording an affidavit of satisfaction.□ an attorney licensed to practice law in this state and in good standing.2. I am signing this Affidavit of Satisfaction to evidence full payment or performance of the obligations secured by real property covered by the following security instrument (the “security instrument”) currently held by __________ (the “secured creditor”):Title of security instrument:Original parties to security instrument:County and state of recording:Recording data for security instrument: [Legal description, if necessary for proper indexing:]3. I have reasonable grounds to believe that:a. the secured creditor has received full payment or performance of the balance of the obligations secured by the security instrument; andb. the real property described in the security instrument constitutes residential real property.4. With the authorization of the owner of the real property described in the security instrument, I gave notification to the secured creditor by [method authorized by section 103 that provides proof of receipt] that I would sign and record an affidavit of satisfaction of the security instrument if, within 30 days after the effective date of the notification, the secured creditor did not submit a satisfaction of the security interest for recording or give notification that the secured obligation remains unsatisfied.5. [check appropriate box]□ The 30-day period identified in paragraph 4 has elapsed, I have no knowledge that the secured creditor has submitted a satisfaction for recording, and I have not received notification that the secured obligation remains unsatisfied.□ The secured creditor responded to the notification in paragraph 4 by authorizing me to execute and record this affidavit of satisfaction.
1. I am: [check appropriate box]□ an officer or a duly appointed agent of [Name of title insurance company] (the “Company”), which is authorized to transact the business of insuring titles to interests in real property in this state, and I have been authorized by the Company to sign and submit for recording an affidavit of satisfaction.□ an attorney licensed to practice law in this state and in good standing.
□ an officer or a duly appointed agent of [Name of title insurance company] (the “Company”), which is authorized to transact the business of insuring titles to interests in real property in this state, and I have been authorized by the Company to sign and submit for recording an affidavit of satisfaction.
□ an attorney licensed to practice law in this state and in good standing.
2. I am signing this Affidavit of Satisfaction to evidence full payment or performance of the obligations secured by real property covered by the following security instrument (the “security instrument”) currently held by __________ (the “secured creditor”):Title of security instrument:Original parties to security instrument:County and state of recording:Recording data for security instrument: [Legal description, if necessary for proper indexing:]
Title of security instrument:
Original parties to security instrument:
County and state of recording:
Recording data for security instrument: [Legal description, if necessary for proper indexing:]
3. I have reasonable grounds to believe that:a. the secured creditor has received full payment or performance of the balance of the obligations secured by the security instrument; andb. the real property described in the security instrument constitutes residential real property.
a. the secured creditor has received full payment or performance of the balance of the obligations secured by the security instrument; and
b. the real property described in the security instrument constitutes residential real property.
4. With the authorization of the owner of the real property described in the security instrument, I gave notification to the secured creditor by [method authorized by section 103 that provides proof of receipt] that I would sign and record an affidavit of satisfaction of the security instrument if, within 30 days after the effective date of the notification, the secured creditor did not submit a satisfaction of the security interest for recording or give notification that the secured obligation remains unsatisfied.
5. [check appropriate box]□ The 30-day period identified in paragraph 4 has elapsed, I have no knowledge that the secured creditor has submitted a satisfaction for recording, and I have not received notification that the secured obligation remains unsatisfied.□ The secured creditor responded to the notification in paragraph 4 by authorizing me to execute and record this affidavit of satisfaction.
□ The 30-day period identified in paragraph 4 has elapsed, I have no knowledge that the secured creditor has submitted a satisfaction for recording, and I have not received notification that the secured obligation remains unsatisfied.
□ The secured creditor responded to the notification in paragraph 4 by authorizing me to execute and record this affidavit of satisfaction.
_____________________________________.
(Signature of Satisfaction Agent)
(Notarization)