New Jersey Statutes Title 46. Property 46 § 18-11.7

1. I am: (a) an attorney-at-law duly admitted to practice before the Courts of this State; or (b) duly licensed as an insurance producer in the line of title insurance.

2. On __________, ___, I caused to be sent to __________, located at __________ (the address designated for receipt of payment in the pay-off letter, or if no address is designated, the address given on the letter head of the pay-off letter), the sum of $__________, in full payment of a certain mortgage dated __________, ___, in the face amount of $__________, between __________ (mortgagor) and __________ (mortgagee), which mortgage was recorded on __________, ___ in the Office of the County Clerk/Register of Deeds of the County of __________ in Mortgage Book __________, page __________ (and which mortgage was subsequently assigned to __________ by assignment of mortgage dated __________, ___, in Assignment of Mortgage Book __________, page __________).

3. Said payment was made by check or electronic wire transfer, in accordance with a pay-off letter received from __________, dated __________, ___; and I have received advice that (a) the check has been negotiated and canceled on __________, ___; or (b) the wire transfer was received and credited to the recipient's account on __________, ___.

4. On __________, ___, at least 30 days' notice having elapsed since the date the payment was received, I caused a notice to be sent to __________, located at __________ (the address designated for receipt of payment in the pay-off letter, or if no address is designated, the address given on the letter head of the pay-off letter), by registered or certified mail, return receipt requested, pursuant to section 2 of P.L.1975, c. 137 (C.46:18-11.3).

5. On __________, ___, at least 30 days having elapsed since the date the notice as set forth in paragraph 4 of this affidavit was received, I caused a notice to be sent to __________, located at __________ (the address designated for receipt of payment in the pay-off letter, or if no address is designated, the address given on the letterhead of the pay-off letter), by registered or certified mail, return receipt requested, of my intention to cause the mortgage to be discharged by affidavit pursuant to section 3 of P.L.1999, c. 40 (C.46:18-11.7), if the mortgage remains uncancelled 15 days after the notice is received.

6. At least 15 days have now elapsed since the notice described in paragraph 5 of this affidavit was received. To the best of my knowledge and belief, no letter or other written communication has been received from __________, to the effect that it denies or disputes that the mortgage has been paid in full and ought to be discharged of record at this time.

7. Wherefore, the undersigned directs the county clerk or register of deeds of the County of __________ to cause to be recorded the discharge or satisfaction-piece accompanying this affidavit, and further directs the county clerk or register of deeds to cause a marginal notation of discharge to be made upon the record of the mortgage described in paragraph 2 of this affidavit.