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Fill and Sign the La Rev Stat133888 Rs 133888filing of Notice of Form

Fill and Sign the La Rev Stat133888 Rs 133888filing of Notice of Form

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Request for Re -inscription of Notice of Contract Page 1 of 2 REQUEST FOR REINSCRIPTION OF NOTICE OF CONTRACT - CORPORATION (La.Rev.Stats § 9 :48 34) COM ES NOW, __________________________________ , as a representative of _________________________________ a __________________ ______________ corporation who se address is ________________________________________________________________ , as an interested party and hereby requests a reinscription of a Notice of Contract from the recorder of mortgages , and would provide the following: (1) The Notice of Contract was filed on the _____ day of __________________ , 20 ______ , registry number ________________________________ (or other r ecordation information of the instrument) . (2) The name of the obligor of the debt secured by the privilege as it appears in the Notice of Contract is: ________________________________ . (3) This Request is being made within the five (5) year period after the Notice of Contract was filed , and before the effect of the filing of the Notice of Cont ract has ceased. (4) Upon receipt of this Request, the Notice of Contract should be reinscribed. This the _____ day of ______________ , 20 _________ . ________________________________ Signature _____ ___________________________ Type or Print Name _____ ___________________________ Title _____ ___________________________ Name of Corporation Attest: Secretary Request for Re -inscription of Notice of Contract Page 2 of 2 STATE OF LOUISIANA COUNTY OF ___________________ On this ________ day of ________, 20__, before me appeared ______________________________, to me personally known, who, being by me duly sworn (or affirmed) did say that he or she is the president (or other officer or agent of the corporation or association), of ______________________ (describing the corporation or association), and that the seal affixed to said instrument is the corporate seal of said corporation (or association) and that the instrument was signed an d sealed in behalf of the corporation (or association) by authority of its Board of Directors (or trustees) and that ________________________ acknowledged the instrument to be the free act and deed of the corporation (or association) or that the corporation (or asso ciation) has no corporate seal. ______________________________ Notary Public ______________________________ Type or Print Name ______________________________ Title (and Rank) (Seal, if any) My appointment expires: ___________________

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