Request For Cancellation Of Prescribed Judicial Mortgage Form

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REQUEST FOR CANCELLATION OF PRESCRIBED JUDICIAL MORTGAGE
(La. C.C. Art. 3368)
STATE OF LOUISIANA
PARISH OF CADDO
Before me, the undersigned authority, a Notary Public, personally came and appeared
___________________________________________________, who being duly sworn, deposes and says:
That there is of record upon the Mortgage Records of Caddo Parish, Louisiana, Registry
No.___________________ in Book _______, at Page ______, a certain judgment for $______________
in favor of _________________________________________________________________ and against
___________________________________________________________.
That said encumbrance has become unenforceable, has prescribed and preempted, and that the
effect thereof has ceased because of lapse of time.
That no suit or motion has been filed to revive the judgment as indicated from the accompanying
and/or attached certificate of the Clerk of the Court rendering the judgment.
That affiant hereby requests the Recorder of Mortgages for Caddo Parish to cancel the judgment
in full.
That affiant agrees to indemnify and to hold harmless the Recorder of Mortgages for Caddo
Parish from any claim, loss, damage or attorney fee resulting to any person or entity as a consequence of
canceling the judgment.
Affiant: ______________________________________
Print Name: ___________________________________
SWORN TO AND SUBSCRIBED before me, Notary Public, this _____day of _____________,
20___.
_______________________________________
Notary Public
CERTIFICATE OF CLERK
STATE OF LOUISIANA
PARISH OF ____________________
I, the undersigned, Deputy Clerk of Court in and for the rendering Court of above described
Judgment, do hereby certify that after an examination of the Civil Suit Indices of said rendering Court for
a period beginning ________________________________, I find no civil suit or motion that has been
filed to revive the following described judgment within the time required by Article 3501 or a final
judgment of the court rejecting the demands of the prevailing party in a civil suit or motion to revive the
following described judgment:
Rendering Court:
In favor of: __________________________________________________________________________
Against: _____________________________________________________________________________
Suit Number: _____________________ in the sum of: _______________ Filed Date: _______________
EXCEPT
(Please state none if no exceptions are found)
Given under my hand and seal of office this ______ day of _______________, 20____.
____________________________________________
(Seal)
Deputy Clerk of Court

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