Fill and Sign the Act Exchange Form

STATE OF LOUISIANA PARISH OF [_PARISH_] ACT OF EXCHANGE BE IT KNOWN, that on [_Date_] before me, [_NOTARY_] , Notary Public, duly commissioned and qualified, and in the presence of the undersigned witnesses, personally came and appeared: [_PARTY_1_] , Tax Identification Number [_TIN_1_] , and [_PARTY_2_] , Tax Identification Number [_TIN_2_] , husband and wife domiciled in [_Parish_1_] and whose present mailing address is [_Address_1_] , hereafter referred to jointly as " [_NAME_1_] "; and [_CORPORATION_] , whose Tax Identification Number is [_TIN_3_] , a Louisiana corporation having its principal place of business at [_Corp_Address_] , represented herein by [_AGENT_] , its [_Office_] duly authorized by resolution attached hereto; hereafter referred to as " [_NAME_2_] "; who declared that they make an exchange of property as provided herein: In consideration of the agreements made herein the said [_NAME_2_] does transfer, set over and deliver with all legal warranties, and with full guarantee against all mortgages, claims, alienations or encumbrances whatsoever unto the said [_NAME_1_] , the following described property: [_Property_1_Description_] Which property has as its address [_Prop_1_Address_] . In consideration of the agreements made herein the said [_NAME_1_] does transfer, set over and deliver with all legal warranties, and with full guarantee against all mortgages, claims, alienations or encumbrances whatsoever unto the said [_NAME_2_] , the following described property: [_Property_2_Description_] Which property has as its address [_Prop_2_Address_] . This exchange is made and mutually accepted by the parties hereto, it being agreed and understood that [_NAME_1_] and [_NAME_2_] each receive properties valued at [_$Value_] , no additional consideration being due to either party. The transfers made herein are made free from any liens, mortgages or encumbrances whatsoever, with full and general warranty of title, and with full subrogation to all of the rights of warranty, and all other rights as held by the respective parties. As to the properties received by each party, that party assumes ad valorem tax liabilities for the current year. Appearers recognize that, except to the extent separately certified in writing, no title examination of said property has been performed by any undersigned Notary. @@@Tax_Receipts@@@ Tax receipts and/or certificates are annexed hereto showing payment of all state, parish, municipal and levee district taxes and past due charges for local improvement assessments assessed against the property. @@@Conveyance_Cert.@@@ By reference to the certificates of the Register of Conveyances for the Parish of Orleans it does not appear that said properties have been alienated by the parties conveying the same. The parties are aware that the certificates attached hereto are open, being not yet dated and signed, and relieve and release the undersigned notary from all responsibility and liability in connection therewith. THUS DONE AND PASSED at [_City_Parish_] , State of Louisiana, the undersigned parties having affixed their signatures in the presence of me, Notary, and the undersigned witnesses after due reading of the whole. WITNESSES: __________________ ___________________________ [_PARTY_1_] __________________ ___________________________ [_PARTY_2_] [_CORPORATION_] BY: ______________________ [_AGENT_] [_Office_] __________________________________ [_NOTARY_] , NOTARY PUBLIC EXCHANGE - F1ASAL06 : This is an exchange of items of immovable property, in which the parties each receive properties of equal value, no additional consideration being included. This example assumes that the parties are a married couple and a Louisiana corporation. No title examination is made by the notary. WORD KEY : EXPLANATION : [_PARISH_] Parish of execution. [_Date_] Date of execution. [_NOTARY_] Notary before whom executed. [_PARTY_1_] Full name of first party. For alternative appearances, see document Appearances - F1AAPP1. [_TIN_1_] Tax Identification Number of first party. For discussion of Internal Revenue Service reporting requirements, see document Request for Tax Identification Number - F1ASAL14. [_PARTY_2_] Name of second party, spouse of first. [_TIN_2_] Tax Identification Number of second party. [_Parish_1_] Parish of domicile of appearing couple. [_Address_1_] Address of appearing couple. [_NAME_1_] Surname of couple or other identifying name. [_CORPORATION_] Name of corporate party. For alternative appearances, see document Appearances - F1AAPP1. [_TIN_3_] Tax Identification Number of corporate party. [_Corp_Address_] Mailing address of corporation. [_AGENT_] Name of person appearing for corporation. [_Office_] Office held by person appearing for corporation. [_NAME 2_] Brief name of corporate party. [_Property_1_Description_] Description of property, including acquisition, transferred by second party to first. [_Prop_1_Address_] Municipal number or address of the property first described [_Property_2_Description_] Description of property, including acquisition, transferred by first party to second. [_Prop_2_Address_] Municipal number or address of the property second described. [_$Value_] Value of each of the groups of property transferred (with $). This document assumes that the transferred parcels are of equal value. @@@Tax_Receipts@@@ Include statement and receipts/certificates showing payment of taxes in conveyances of real property located in municipal corporations exceeding 300,000 inhabitants, as per R.S. 9:2921. @@@Conveyance_Cert.@@@ Where real property located in the Parish of Orleans is conveyed, R.S. 9:2928 requires attachment of a certificate of the Register of Conveyances showing that the seller has not alienated the property. [_City_Parish_] City and parish of execution.