Louisiana Revised Statutes Tit. 9, § 5173. Mortgage or privilege cancellation by financial institution; standard form

(1) The institution was the obligee or the authorized agent of the obligee of the obligation secured by the mortgage or privilege described below when the obligation was extinguished, and the secured obligation has been paid or otherwise satisfied or extinguished; or

(2) The institution is the obligee or authorized agent of the obligee of the secured obligation, and it releases the mortgage or privilege described below.

The Clerk of Court and Ex-Officio Recorder of Mortgages for the Parish identified below is hereby expressly requested, authorized, and directed to cancel the recordation of the mortgage or privilege described as follows:

A mortgage or privilege granted by:

In favor of: _________________________________

Date of Instrument: ____________________

Parish of Recordation: _______________

Recording Data: _________________________

Legal description is as follows or is hereby attached as Exhibit “A”:

________________________________________.

(3) The recorder of mortgages shall not be liable for any damages resulting to any person or entity as a consequence of canceling a mortgage or vendor's privilege pursuant to this form.

[Choose one of the two following signature options.]

THUS DONE AND SIGNED before me, Notary Public, on the date set forth above.

Name of officer and title

Name of financial institution

Requested mailing address

City, state, and zip code

THUS DONE AND SIGNED by the two undersigned authorized officers of the above named financial institution.

Name of officer and title

Name of financial institution

Requested mailing address

City, state, and zip code

Name of officer and title

Name of financial institution

Requested mailing address

City, state, and zip code