Any party contemplating the recording, as mortgagee in the same county, of more than one real estate mortgage subject to the same general provisions, covenants, conditions and obligations, may record an unacknowledged instrument which shall be called a stipulation of general mortgage provisions, and shall be in the following form:

The following general provisions, covenants, conditions and obligations shall be an integral part of any mortgage hereafter recorded in .................... County, Pennsylvania, in favor of the undersigned, when such subsequently recorded mortgage expressly provides for the incorporation of the following general provisions, covenants, conditions and obligations as an integral part thereof by reference to this recorded stipulation.

(Here insert the general provisions, covenants, conditions and obligations intended to be incorporated by reference in future mortgages.)

In witness whereof this stipulation is executed this .................... day of ............, 19....