Fill and Sign the Louisiana Cancellation Mortgage Form

STATE OF LOUISIANA PARISH OF [_PARISH_] ACT OF CANCELLATION OF MORTGAGE BE IT KNOWN that on [_Date_] , before me, [_NOTARY_] , the undersigned Notary Public, and in the presence of the subscribing witnesses, personally came and appeared [_APPEARER_] (herein, "Appearer"), who presented to me a certain note dated [_Note_Date_] payable to the order of [_Payee_] made by [_Borrower_] in the full sum of [_PRINCIPAL_] ( [_$Principal_] ) DOLLARS, payable [_Terms_] bearing interest at the rate of [_Interest%_] per annum, from [_Interest_Date_] until paid, which note Appearer declared to have been secured by an act of mortgage passed before [_Mortgage_Notary_] , Notary Public, and recorded in the official public records of the [_Clerk_of_Court_and_] Recorder of Mortgages for the Parish of [_Filing_Parish_] , Louisiana, as [_Recordation_] , affecting the following described property (which is more fully described in said mortgage): [_Property_Description_] Appearer further declared that said note has been fully satisfied and marked paid, and I have attached it hereto and incorporate it herein by reference. Appearer hereby authorizes the [_Clerk_of_Court_and_] Recorder of Mortgages for the Parish of [_Filing_Parish_] , Louisiana to record and index this act of cancellation pursuant to the provisions of Louisiana Revised Statutes 9:5180.5. Said note attached hereto shall remain an integral part of this act, and the [_Clerk_of_Court_and_] Recorder of Mortgages shall copy it in full, front and back, in the official records of his office. THUS DONE AND PASSED before me at [_City_Parish_] , Louisiana, on the date first above written. WITNESSES: _____________________ __________________________ [_APPEARER_] _____________________ - 1 - __________________________________ [_NOTARY_], NOTARY PUBLIC * * * * * * * * * * ACT OF CANCELLATION OF MORTGAGE - F1BSEC05: This document is executed by the holder of a paid mortgage note and submitted with the note for filing and indexing to the Clerk of Court (or Orleans Recorder of Mortgages) for the parish in which the mortgage is filed. This form evidences payment of the note and authority for cancellation of the mortgage in accordance with the former R.C.C. 3385.1, redesignated R.S. 9:5180.5. WORD KEY EXPLANATION [_PARISH_] Parish of execution of act of cancellation. [_Date_] Date of execution. [_NOTARY_] Notary before whom act is signed. [_APPEARER_] Holder of mortgage note. [_Note_Date_] Date of mortgage note. [_Payee_] Party to whom mortgage note is payable. [_Borrower_] Maker or makers of mortgage note. [_PRINCIPAL_] Principal amount of mortgage note (in words). [_$Principal_] Principal amount of mortgage note (in numerals with $). [_Terms_] Terms of payment. [_Interest%_] Mortgage note interest rate (with %). [_Interest_Date_] Date from which mortgage note interest accrues. [_Mortgage_Notary_] Notary before whom mortgage was executed. [_Clerk_of_Court_and_] Delete for Orleans Parish filing. [_Filing_Parish_] Parish in which mortgage is filed. [_Recordation_] Recordation data on mortgage. [_Property_Description_] Description of mortgaged property, as it appears in the mortgage. [_City_Parish_] City and parish in which act is executed. - 2 -