Georgia Code Title 44. Property § 44-2-248

(a) The regular form to be used where any person desires a notation to be made of any lien, encumbrance, or special right, other than voluntary transactions and other than those otherwise provided for in this part, is as follows:

--REQUEST FOR NOTATIONS OF SPECIAL RIGHT--

The undersigned _____

claims against the land described in certificate No. _____, Registered Title No. _____, registered in the office of the clerk of the Superior Court of _____ County, the following lien (encumbrance, equity, or special right, as the case may be): _____ in proof of which reference is had to the following record or court proceeding _____.

Please note the same upon the register of title accordingly.

Sworn to and subscribed before me this

_____ day of _____, _____.

_____

(b) The above form may be used to give notice of a lis pendens.

(c) If the description of the alleged encumbrance, equity, or special right is too lengthy to note with convenience on the blanks in the title register, the request for the notation of the same shall be recorded on the deed book of the county; and the clerk shall register only a general description of it but shall note under the appropriate column heading in the title register the reference “Special, see Deed Book _____ page _____.”