1340 POYDRAS STREET SUITE 400 NEW ORLEANS, LOUISIANA 70112 Telephone (504) 592-9170 Facsimile (504) 592-4320
CHELSEY RICHARD NAPOLEON CHIEF DEPUTY CLERK
Dale N. Atkins
Clerk of Court and Ex-Officio Recorder Parish of Orleans REQUEST TO CANCEL MORTGAGE BY PRESCRIPTION
PLEASE CANCEL THE FOLLOWING MORTGAGE RECORDED IN THE RECORDS OF THE PARISH OF ORLEANS AS SAME HAS PRESCRIBED. I HAVE EXAMINED THE MORTGAGE DIVISION RECORDS FOR A LIS PENDENS REINSCRIPTION, REVIVAL, RENEWAL, OR LIS PENDENS OF THIS MORTGAGE. THEREFORE, I REQUEST THE CANCELLATION OF THIS MORTGAGE BASED ON PRESCRIPTION. I AGREE TO INDEMNIFY AND HOLD HARMLESS THE CLERK OF COURT AND EX-OFFICIO RECORDER AGAINST ALL LIABILITY FOR CANCELING THIS MORTGAGE.
MORTGAGE BY____________________________________________________________________ ___________________________________________________________________ IN FAVOR OF______________________________________________________________________ ______________________________________________________________________ ACT BEFORE______________________________________________________________________ DATE_____________________________________________________________________________ RECORDED IN_____________________________________________________________________ PRINT NAME______________________________________________________________________ ADDRESS_________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ PHONE____________________________________________________________________________ SIGNATURE_______________________________________________________________________ DATE_____________________________________________________________________________ PLEASE FURNISH CERTIFICATE OF CANCELLATION