______ of ______ County, ______ State of ______, holder of a mortgage from ____ to ____ dated ____, recorded in ____ Book____ at Page ____ of the Town of ____ Land Records, by the power conferred by said mortgage and every other power, for ____ dollars paid, grant to ______, (complete mailing address) ______, of ______ Street, Town (City) of ____, ______ County, State of ______, the premises conveyed by said mortgage.
(Here add acknowledgment)
12 V.S.A. § 4970