Georgia Code Title 44. Property § 44-2-242

(a) The following is a form of the creditor's certificate referred to in this article:

--CREDITOR'S CERTIFICATE--

State of Georgia, _____ County:

Registered Title No. _____

Certificate No. _____

I hereby certify that the title to the estate hereinafter mentioned in the following described land lying in said county, _____

____________________

is registered under the provisions of the Land Registration Law and thereby vested in ____________________

as security for a debt created by the holder of the owner's certificate of title to said estate, (here insert name of the holder of the owner's certificate); said debt being particularly described as follows: __________

with power conferred to sell the same after lawful advertisement, without foreclosure, in accordance with the provisions of the Land Registration Law, if any part of said debt is not paid at maturity. The estate in said land so held is as follows: __________

subject to the following limitations, conditions, encumbrances, etc., _____ and such other as may be noted hereon.

Witness my hand and seal of office, this _____ day of _____, _____, at _____:__________. M.

(Official Seal)

(b) All uncanceled entries appearing on the certificate of title at the time the creditor's certificate is issued shall be noted and entered on the creditor's certificate.

(c) The creditor's certificate shall bear an endorsement on its back in the following form:

--CREDITOR'S CERTIFICATE--

Registered Title No. _____

Certificate No. _____

On lands registered in the name of __________ Issued to _____ Georgia, _____ County.

Entered and registered this _____ day of _____, _____, at _____:__________. M.