Fill and Sign the La Rev Stat94811 Rs 94811notice of a Contract with Form

Mutual Release of Notice of Contract with Affidavit Page 1 of 3 MUTUAL RELEASE OF NOTICE OF CONTRACT WITH AFFIDAVIT - CORPORATION (La.Rev.Stats § 9:4811(E) ) COMES NOW, __________________________________ , a s a representative of _________________________________ a ________________________________ corporate Contractor whose address is ________________________________________________________________ , and __________________________________ as a representative of _________________________________ a ________________________________ corporate Owner whose address is ________________________________________________________________ , and files this Mutual Release of No tice of Contract with Affidavit , and would provide the following: (1) The parties entered into an employment/contract for work to b e performed on the land located at and described as _____________________________ ___________________________________________ on : ________________________________________________________________________ (date). (2) No work ha d begun on the land as of ________________________________________________________________________ (date). (3) Contractor and Owner desire to hereby mutually release the Notice of Contract filed on _____________________________________________________________________ ___ (date) for the project at the above -described property, making the Notice of Contract ineffective . (4) The recorder of mortgages shall immediately cancel the contract upon the filing of this Mutual Release with Affidavit . (5) If the contract, or a certified copy, is refiled, the refiling date shall become the effective date for privilege for work done pursuant to the contract in accordance with La. Rev. Stats . § 9:4820 (A)(1). Dated: __________________ ______________________________ ________________________________ Signature of Contractor Signature of Owner _____ _________________________ _____ ___________________________ Type or Print Name Type or Print Name _____ _________________________ _____ ___________________________ Title Title _____ _________________________ _____ ___________________________ Name of Corporation Name of Corporation Attest: Mutual Release of Notice of Contract with Affidavit Page 2 of 3 Secretary Affidavit of Engineer, Surveyor, Architect or Building Inspector COMES NOW, __________________________________ , as a /an ________________________________ (engineer or surveyor, licensed architect, or building inspector employed by the city or parish or by a lending institution chartered under federal or state law ), and would provide the following: (1) The undersigned inspected the immovable located at ________________________________________________________________________ on ___________________________________________________________________ _____ at ________________________________________________________________________ (da te and time subsequent to the filing of the contract ). (2) No work has begun on the land and no materials have been pla ced at the site located at and described as: ________________________________________________________________________ . Dated: __________________ ___________________________ _____ Signature _____ ___________________________ Type or Print Name Mutual Release of Notice of Contract with Affidavit Page 3 of 3 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 o r association), and that the seal affixed to said instrument is the corporate seal of said corporation (or asso ciation) and that the instrument was signed and 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 corpo ration (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: ___________________