Cancellation Of Building Contract Form - Louisiana

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CANCELLATION OF BUILDING CONTRACT
State of Louisiana
Parish of St. Bernard
BEFORE ME, the undersigned Notary Public, duly commissioned and qualified within
the Parish and State aforementioned, personally came and appeared:
_______________________________________________________, hereinafter called “OWNER(S),”
and
__________________________________________________, hereinafter called “CONTRACTOR,”
who, being by me first duly sworn and deposed, said:
That they are, respectively, the owner and contractor who entered into a certain contract
d
ated: __________________________; Recorded in Mortgage Office Book __________ Folio __________,
instrument number _____________________, of the records of the Parish of St. Bernard, State of Louisiana,
with respect to the property described as follows: _______________________________________________.
The said building contract was accepted on: ________________________________________, as
will more fully appear by reference to the recordation in the margin of the above mentioned page of the
said mortgage office book, and the parties now declare that the work done under said contract has been
fully paid for, that there are no building, materialmen’s or laborer’s liens or privileges existing against
the said contract or the premises by virtue of the work done thereon, and said parties hereby authorize
and direct the Clerk of Court and Ex-Officio Recorder of Mortgages for the Parish of St. Bernard, State of
Louisiana, to cancel and erase the inscription of said building contract recorded as aforesaid.
___________________________________
_____________________________________
DATE
OWNER
_____________________________________
OWNER
_____________________________________
CONTRACTOR
PRINTED name of Above Signed Owner(s): _____________________________________________
Company: _____________________________________________
Title: ____________________________________ Duly Authorized Agent
PRINTED name of Above Signed Contractor: _____________________________________________
Company: _____________________________________________
Title: ____________________________________ Duly Authorized Agent
Sworn to and subscribed before
me this _______ day of _________________, 20_____.
______________________________________________
Notary Public
Printed Name: ____________________________________________
Notary or Bar Number: _________ Commission expires: ____________________

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