Release of Security Interest
Name of Borrower: ________________________________
Address of Borrower: ________________________________

Name of Lender/Secured party: ________________________________
Address of Lender/Secured party: ________________________________

For valuable consideration, Lender releases Borrower from the following specific security agreement [identify the security agreement, including the date signed, amount borrowed, collateral named, and pay back date]:
___________________________________________________.

The term Borrower refers to one or more borrowers. The term Lender refers to any person who legally holds this note, including a buyer in due course.

Any claims and obligations not specifically mentioned here are not covered by this Release.
Lender has not assigned any claims or obligations covered by this Release to any other party.
Lender will sign a Release of U.C.C. Financing Statement if such a statement was filed with a public agency.

Lender's signature: ________________________________________
Print name: ________________________________
Date: ________________________________