Any restrictive covenant prohibited by subsection A of § 36-96.6 may be released by the owner of real property subject to such covenant by recording a Certificate of Release of Certain Prohibited Covenants. The real property owner may record such certificate (i) prior to recordation of a deed conveying real property to a purchaser or (ii) when such real property owner discovers that such prohibited covenant exists and chooses to affirmatively release the same. Such certificate may be prepared without assistance of an attorney, but shall conform substantially to the following Certificate of Release of Certain Prohibited Covenants form: “CERTIFICATE OF RELEASE OF CERTAIN PROHIBITED COVENANTS Place of Record: ________ Date of Instrument containing prohibited covenant(s): ____ Instrument Type: __________ Deed Book ____ Page ___ or Plat Book ____ Page___ Name(s) of Grantor(s): ________ Name(s) of Current Owner(s): ________ Real Property Description: ________ Brief Description of Prohibited Covenant: ________ The covenant contained in the above-mentioned instrument is released from the above-described real property to the extent that it contains terms purporting to restrict the ownership or use of the property as prohibited by subsection A of § 36-96.6. The undersigned is/are the legal owner(s) of the property described herein. Given under my/our hand(s) this ____ day of ____ , 20__. ________ ________ (Current Owners) Commonwealth of Virginia, County/City of ______ to wit: Subscribed, sworn to, and acknowledged before me by ______ this ____ day of ____, 20__. My Commission Expires: ______ ________ NOTARY PUBLIC Notary Registration Number: ______ The clerk shall satisfy the requirements of § 17.1-228.”