Fill and Sign the By Original Mortgage Form

By Original Mortgage MORTGAGE CANCELLATION INSTRUMENT MORTGAGOR(S): MORTGAGEE: _____________ _____________ _____________ SSN or EIN# : _____________ SSN or EIN# : _____________ _____________ Date of Mortgage: _____________ Mortgage Recorded at: Mortgage Book ___ Entry No. ___ Ad dress of Mortgaged Property: Parish of Recordation: _____________ _____________ Parish _____________ To: The Clerk of Court of _________ ____ Parish, Louisiana, or the Recorder of Mor tgages for the Parish of _____________ (as applicable). The undersigned Mortgagee hereby certifies that: (1) Mortgagee is the holder of record of a Multiple Indebtedness Mortgage or Home Equity Mortgage (the AMortgage @) dated the above date, execute by the above named Mortgagor in favor of Mortgagee, which Mortgage is recorded in the above referenced parish. (2) The Mortgage was granted pursuant t o Article 3298 of the Louisiana Civil Code to secure then present and future indebtedness on an automatic basis without the necessity that individual mortgage notes be paraphed ANe Varietur @ for identification with the Mortgage. (3) All of the indebtedness secured by the Mortgage having been fully paid and satisfied, Mortgagee has agreed to the cancellation of the Mortgage pursuant to Civil Code Article 3298(C) and La. R.S. SS9:5556. Pursuant to La. R.S. SS9:5556(A), Mortgagee hereby directs the Clerk of Court of the above - named parish, or the Recorder of Mor tgages for the Parish of _____________ (as applicable), to cancel the inscription of the Mortgage from the mortgage records of sa id parish. Date: ________ _______ , 20 ___ MORTGAGEE _____________ _____________________________ BY: _____________ TITLE: _____________