Fill and Sign the Affidavit of Mortgage Declaration Ascension Parish Form

- 1 - UNITED STATES OF AMERICA PARISH OF [_PARISH_] STATE OF LOUISIANA SALE WITH ASSUMPTION OF MORTGAGE BE IT KNOWN, That on the date indicated below, before the undersigned Notary Public, duly commissioned and qualified and in the presence of the witnesses hereinafter named and undersigned: PERSONALLY CAME AND APPEARED: [_SELLER_] , Tax Identification Number [_TIN_1_] , an unmarried man of full age of majority domiciled in [_Seller_Parish_] , whose present mailing address is [_Seller_Address_] , referred to herein as "SELLER"; who declared and said that, for the price and consideration, and on the terms and conditions hereinafter expressed SELLER did and does by these presents, grant, bargain, sell, convey, transfer, assign, set over and deliver, unto: [_PURCHASER_1_] , whose Tax Identification Number is [_TIN_2_] , and [_PURCHASER_2_] , whose Tax Identification Number is [_TIN_3_] , husband and wife domiciled in [_Purchaser_Parish_] , whose present mailing address is [_Purchaser_Address_] , referred to herein jointly as "PURCHASER"; here present, accepting and purchasing for PURCHASER and PURCHASER's heirs, and acknowledging d elivery and possession thereof, the following described property, to -wit: [_Property_D escription_] The property conveyed herein has as its address [_Prop_Address_] . The consideration for this sale is [_PRICE_] ([_$Price_] ) DOLLARS which the SELLER acknowledge s receiving in the form of: [_CASH_] ([_$Cash_] ) DOLLARS, cash, and assumption of the balance due on that mortgage loan obligation assumed and described as follows: PURCHASER assumes and agrees to hold the SELLER, free and harmless from the payment of the balance due on that certain conventional mortgage note made and executed by [_Borrower_] to the order of [_LENDER_] , payable [_Terms_] , dated [_Note_Date_] in the principal sum of [_$Principal_] , with inter est at the rate of [_Interest%_] per cent per annum, which note was paraphed "Ne Varietur" by [_Note_Notary_] Notary Public, for identification with an Act of [_Type_] Mortgage, passed before on the same date, which mortgage rests upon the property herein conveyed and recorded in the office of the Recorder of Mortgages of [_Filing_Parish_] at [_Recordation_] , the PURCHASER herein assuming all the obligations imposed on [_Borrower_] in the said note and the said mortgage. The parties hereto acknowledge that the principal balance due by SELLER on the note secured by the aforedescribed Mortgage as of thi s date, is the sum of [_$Balance_] . SELLER transfers to PURCHASER all SELLER's right, title and interest in and to any escrow account maintained in connection with the loan assumed and in and to any insurance policies affecting the property conveyed. Ad valorem property taxes for the curren t year shall be [_Assumed_Prorated_] . - 2 - And to these presents th ere personally appeared [_LENDER_] , the holder of the hereinabove described note, represen ted herein by its duly authorized officer, [_OFFICER_] , who appears herein to acknowled ge the transfer made hereby, to confirm that the balance due on the aforedescribed mortgage is [_$Balance_] as of this date, and to consent to the assumption of the hereinabove described obligation by the PURCHASER herein. [_LENDER_] does hereby [_release_retain_] SELLER as an obligor on the [_Note_Date_] promissory note referred to above. [_OFFICER_] then delivered to the undersigned Notary the said [_Note_Date_] promissory note, and after having paraphed the same "Ne Varietur" for identification with this act, the said Notary returned the same to [_OFFICER_] . All parties signing this instrument have declared themselves to be of full legal capacity. All agreeme nts and stipulations herein, and all the obligations herein assumed shall insure to the benefit of and be binding upon the heirs, successors, and assigns of the respective parties, and the PURCHASER, their heirs and assigns, shall have and hold the describ ed property in full ownership forever. SELLER warrants the title to the herein described prope rty but excepts from said warranty all matters of public record creating (1) mineral leases or reservations, (2) land use restrictions or (3) servitudes. SELLER transfers to PURCHASER and subrogates PURCHASER to all rights and actions of warranty which SE LLER has against all prior owners. @@@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 certificate of the Register of Conveyances for the Parish of Orleans it does not appear that said property has been alienated by the vendor. The parties are aware that the certificate attached hereto is open, being not yet dated and signed, and relieve and release the undersigned notary from all responsibility and liability in connection therewith. The parties acknowledge that the acts of any such Notary in the preparation and execution hereof do no t constitute the expression of any opinion as to the validity of the title to the property herein described, and unless otherwise separately certified in writing, no title examination of said property has been performed by any undersigned Notary. Thus si gned on [_Date_] , at [_City_Parish_] , Louisiana, in the presence of the undersigned Notary Public and witnesses, who have signed with the parties after due reading of the whole. WITNESSES: _________________________ _________________________ [_SELLER_1_] _________________________ _________________________ [_PURCHASER_1_] _________________________ [_PURCHASER_2_] [_LENDER_] BY: _____________________ [_OFFICER_] - 3 - _________________________________ [_NOTARY_] , NOTARY PUBLIC * * * * * * * * * * SALE WITH ASSUMPTION - F1ASAL12 : This is a conveyance of immovable property in which part or all of the consideration is the assumption of an existing debt secured by a mortgage on the property conveyed. T he mortgage holder appears in the transaction and may release the seller from the obligation secured by the mortgage. WORD KEY : EXPLANATION : [_PARISH_] Parish of execution. [_SELLER_] Full name of seller. In this case, seller is a single man. For alternative appearances, see document Appearances - F1AAPP1. [_TIN_1_] Tax Identification Number of seller. For discussion of Internal Revenue Service reporting requirements, see document Re quest for Tax Identification Number - F1ASAL14. [_Seller_Parish_] Parish of seller's domicile. [_Seller_Address_] Mailing address of seller. [_PURCHASER_1_] Full name of first purchaser. [_TIN_2_] Tax Identification Number of first purchaser. [_PURCHASER_2 _] Full name of second purchaser. [_TIN_3_] Tax Identification Number of second purchaser. [_Purchaser_Parish_] Parish of purchasers' domicile. [_Purchaser_Address_] Mailing address of purchasers. [_Property_Description_] Description of property, including acquisition. [_Prop_Address_] Municipal number or address of the property conveyed. [_PRICE_] Total price paid for property (in words). [_$Price_] Total price in numerals (with $). [_CASH_] Cash paid to seller (in words). [_$Cash_] Cash paid to seller in numerals (with $). [_Borrower_] Name of maker or makers of note assumed. This may or may not be note of seller. [_LENDER_] Party to whom note is payable. - 4 - [_Terms_] State repayment terms from note. [_Note_Date_] Date of promissory note. [_$Principal_] Principal amount of note (with $). [_Interest%_] Interest rate provided for in note (with %). [_Note_Notary_] Notary who paraphed note for identification with mortgage. [_Type_] State type of mortgage. [_Filing_Parish_] Parish in which mortgage is filed. [_Recordation_] Recordation data on mortgage. [_$Balance_] Balance due on mortgage note, as of date sale and assumption is signed (with $). [_Assumed_Prorated_] Set forth agreement on payment of taxes for year of sale. [_OFFICER_] Name of person appearing t o represent lender. [_release_retain_] As appropriate. @@@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. 9:29 21. @@@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. [_Date_] Date act is signed . [_City_Parish_] City and parish of signing. [_NOTARY_] Notary before whom act is signed.