A written request to a public trustee made pursuant to section 38-39- 102 (1)(a) and (3) to release a deed of trust without production of the original canceled evidence of debt may be in substantially the following form: Original Note and Deed of Trust Returned to: When recorded return to: Prepared/Received by: REQUEST FOR FULL [ ] / PARTIAL [ ] RELEASE OF DEED OF TRUST AND RELEASE BY HOLDER OF THE EVIDENCE OF DEBT WITHOUT PRODUCTION OF EVIDENCE OF DEBT PURSUANT TO §38-39-102 (1)(a) and (3), COLORADO REVISED STATUTES ___________________________ Date ___________________________ Original Grantor (Borrower) ___________________________ ___________________________ Current Address of Original Grantor, ___________________________ Assuming Party, or Current Owner [ ] Check here if current address is unknown. ___________________________ Original Beneficiary (Lender) ___________________________ ___________________________ Date of Deed of Trust ___________________________ Date of Recording and/or Re-Recording of Deed of Trust ___________________________ Recording Information County Rcpt. No. and/or Film No. and/or Book/Page No. and/or Torrens Reg. No. TO THE PUBLIC TRUSTEE OF __________________ COUNTY (The County of the Public Trustee who is the appropriate grantee to whom the above Deed of Trust should grant an interest in the property described in the Deed of Trust) PLEASE EXECUTE AND RECORD A RELEASE OF THE DEED OF TRUST DESCRIBED ABOVE. The indebtedness secured by the Deed of Trust has been fully or partially paid and/or the purpose of the Deed of Trust has been fully or partially satisfied in regard to the property encumbered by the Deed of Trust as described in the Deed of Trust as to a full release or, in the event of a partial release, only that portion of the real property described as: _________________________________________________________ (IF NO LEGAL DESCRIPTION IS LISTED THIS WILL BE DEEMED A FULL RELEASE.) Pursuant to § 38-39-102 (3), Colorado Revised Statutes, in support of this Request for Release of Deed of Trust, the undersigned, as the holder of the evidence of debt secured by the Deed of Trust described above, or as a title insurance company authorized to request the release of a Deed of Trust pursuant to § 38-39-102 (3)(c), Colorado Revised Statutes, in lieu of the production or exhibition of the original evidence of debt with this Request for Release, certifies as follows: 1. The purpose of the Deed of Trust has been fully or partially satisfied. 2. The original evidence of debt is not being exhibited or produced with this request for release of Deed of Trust. 3. It is one of the following entities (check applicable box): a. [ ] The holder of the original evidence of debt that is a qualified holder, as specified in § 38-39-102 (3)(a), Colorado Revised Statutes, that agrees that it is obligated to indemnify the Public Trustee for any and all damages, costs, liabilities, and reasonable attorney fees incurred as a result of the action of the Public Trustee taken in accordance with this Request for Release; b. [ ] The holder of the evidence of debt requesting the release of a Deed of Trust without producing or exhibiting the original evidence of debt that delivers to the Public Trustee a corporate surety bond as specified in § 38-39-102 (3)(b), Colorado Revised Statutes; c. [ ] A title insurance company licensed in Colorado, as specified in § 38-39-102 (3)(c),
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