Fill and Sign the Louisiana Affidavit Form

STATE OF LOUISIANA PARISH OF [_PARISH_] AFFIDAVIT OF INSPECTION BEFORE ME, the undersigned authority duly commissioned and qualified in and for the aforesaid state and parish, personally came and appeared: [_AFFIANT_] , whose mailing address is [_Address_] ; hereafter "Affiant"; who declared under oath that [_he_she_] makes this affidavit in accordance with R.S. 9:4820 and that [_he_she_] is a: [_( )_] Louisiana Registered Engineer or Surveyor; or [_( )_] Louisiana Licensed Architect; or [_( )_] Building Inspector employed by [_Lender_] ; and that [_he_she_] inspected the property and building site identified as [_Building_Site_] on [_date_and_time_] , and at that time no construction work had begun on the property and no building materials had been delivered to or placed upon the property. _______________________ [_AFFIANT_] SWORN TO AND SUBSCRIBED BEFORE ME, on [_Date_] . ____________________________ [_NOTARY_] , NOTARY PUBLIC - 1 - AFFIDAVIT OF INSPECTION - F1BSEC07: This affidavit is executed in accordance with R.S. 9:4820C. and, if filed within four days of execution, establishes a presumption that the facts contained in it are correct. A person acquiring a mortgage, privilege or other right may take advantage of that presumption if the mortgage, privilege or other right is filed within four days of the filing of the affidavit. WORD KEY : EXPLANATION : [_PARISH_] Parish in which affidavit is executed. [_AFFIANT_] Name of person signing affidavit. [_Address_] Mailing address of affiant. [_he_she_] As appropriate. [_( )_] Indicate position of affiant. [_Lender_] Name of employing lender, where applicable. [_Building_Site_] Identify site and owners. [_date_and_time_] Date and time of inspection. [_Date_] Date affidavit executed. [_NOTARY_] Notary before whom affidavit is executed. - 2 -