DISCHARGE
OF SECURITY INTEREST
FOR VALUE RECEIVED,
the undersigned does hereby release and discharge a certain security
interest issued by [r-Debtor] to the undersigned dated [date].
This document ___
shall ___ shall not [check one] constitute a discharge of any
obligation for which said security interest was granted.
Signed this ___ day
of ___, 20____.
______________________________________________
Secured Party
