Fill and Sign the Louisiana Notice Contract 497308546 Form

REQUEST FOR REINSCRIPTION OF NOTICE OF CONTRACT- CORPORATION (La.Rev.Stats § 9:4834) COMES NOW, __________________________________ , as a representative of _________________________________ a ________________________________ corporation whose 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 recordation 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 Contract 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 1 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 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 corporation (or association) or that the corporation (or association) has no corporate seal. ______________________________ Notary Public ______________________________ Type or Print Name ______________________________ Title (and Rank) (Seal, if any) My appointment expires: ___________________ Request for Re-inscription of Notice of Contract Page 2 of 2