                                 CODE OF VIRGINIA

PERMISSIBLE FORM FOR CERTIFICATE (§ 8.01-241.1)

Any extension of the limitations of the right to enforce the lien of a deed of
trust or mortgage shall conform substantially with the following form:

CERTIFICATE OF EXTENSION OF LIMITATION OF  RIGHT TO ENFORCE DEED OF TRUST OR
MORTGAGE

Place of
Record&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#82
30;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..…Date of Deed of
Trust/Mortgage&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8
230;&#8230;&#8230;&#8230;&#8230;.…Deed Book&#8230;&#8230;&#8230;&#8230;..…
Book
Page&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230
;&#8230;…Name of
Guarantor(s)&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#823
0;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;…Name of
Trustee(s)&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;
&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..…Maker(s) of
Note&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230
;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.…Date of
Note(s)&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8
230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..…

I/we, the beneficial title holder(s) of the property encumbered by the above
mentioned deed of trust/mortgage, do hereby certify that the lien of the same is
hereby extended 10 years from the date of my/our endorsement upon this
certificate.

&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8
230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..…

Beneficial Titleholder/Attorney-in-Fact/AgentCommonwealth of VirginiaCounty/City
of&#8230;&#8230;&#8230;&#8230;&#8230;.…:

Subscribed, sworn to and acknowledged before me by

&#8230;&#8230;&#8230;..…, this … day of&#8230;&#8230;.., 20 …

My Commission expires:&#8230;&#8230;&#8230;&#8230;&#8230;.…

Notary Public

HISTORY: 1994, c. 547; 2008, c. 226.