§ 9:5173 — Mortgage or privilege cancellation by financial institution; standard form

§5173. Mortgage or privilege cancellation by financial institution; standard form
A financial institution seeking to cancel a mortgage or privilege inscription pursuant
to R.S. 9:5172 may use, and the recorder of mortgages for each and every parish in the state
of Louisiana shall accept, the following form as fully compliant as a request for cancellation
and act of release. The form contained in this Section is not the exclusive form to be
accepted for filing, and any other form meeting the requirements of R.S.9:5172 may be used
and filed for canceling the recordation of a mortgage or privilege:
State of ____________________
Parish or County of ______________________
BE IT KNOWN THAT on this _______day of _____________, 20____,
____________________ (name of financial institution) herein represented by its undersigned
duly authorized officer or officers, declares that it is a licensed financial institution as defined
in R.S. 9:5172 et seq. and that one of the following statements is true and correct:
(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.
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

Legislative History

Acts 2007, No. 337, §2; Redesignated from R.S. 44:109.1 by Acts 2010, No. 284, §1, eff. Jan. 1, 2011; Acts 2017, No. 62, §1.