Release By Obligee Of Record Of Mortgage Or Privilege
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1RELEASE BY OBLIGEE OF RECORD OF MORTGAGE OR PRIVILEGE
(
)
Non Paraphed Obligation-Pursuant to La. R.S. 9:5169, formerly La. R.S. 44:106
State of ____________________________
Parish/County of ______________________
BE IT KNOWN, that on this__________day of____________________, ___________;
Before me the undersigned Notary, duly commissioned and qualified in and for the above
named Parish/County and State personally came and appeared:
_____________________________________________________________________________,
represented herein by _____________________________________________________,
Title___________________, its duly authorized representative, who after being first sworn
declared:
Please check only one below:
( )
The above named appearer was the obligee of record of the below described secured
mortgage or privilege when it was paid, satisfied or extinguished.
( )
The above named appearer was the assignee of the obligation secured by the
below described mortgage or privilege when it was paid, satisfied or extinguished.
Said assignment is recorded at MOB________folio__________, Instrument
Number ____________of the official records of St. Tammany Parish, Louisiana.
The secured obligation has been paid, satisfied or extinguished and further the said mortgage
or privilege is extinguished and hereby released;
The Clerk of Court and Ex-Officio Recorder of Mortgages for St. Tammany Parish
Louisiana 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________________________________________________________________
Dated___________________________________________________________________
In the original sum of ______________________________________________________
Recorded at MOB___________, folio_________, Instrument Number________________
of the official records of St. Tammany Parish, Louisiana, which affects the following
described property:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
________________________________________________________________________;
WITNESSES:
SIGNATURE:____________________________
_________________________
PRINTED NAME:________________________
COMPANY NAME:_______________________
_________________________
TITLE:__________________________________
ADDRESS:_______________________________
_________________________________________
TELEPHONE NO:_________________________
___________________________
Notary Public
Printed Name:___________________
ID or Bar Roll Number:____________
Commission Expires:______________
STP 7/06, rev. 1/2011
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