Fill and Sign the Louisiana Servitude Form

BY: _____________ : UNITED STATES OF AMERICA TO: _____________ and : PARISH OF ______ , LOUISIANA _____________ SERVITUDE FOR DRAINAGE LINE BE IT KNOWN, on this _____ day of _________________ 20 ___ , before me, ___________, a Notary Public, duly commissioned and qualified, in and for the Parish of ______ , State of Louisiana, therein residing, and in the presence of the witnesses hereinafter named and undersigned personally came and appeared: _____________ (hereinafter referred to as A Grantor @ ) who declared that it does hereby grant unto: _____________ and _____________ , husband and wife. (hereinafter referred to as A Grantee @ ), its successors and assigns, the right to lay, maintain, inspect, operate, repair, alter and remove a drainage line from a mechanical treatment plant not to exceed ______ ( ___ ") inches over through, upon, across and under the land belonging to grantor over the following described property, to-wit: That certain tract of land located in Section ______ , T ______ S, R ______ E, ______ Ward of ______ Parish, Louisiana, located on the ______ side of ______ , together with all buildings and improvements thereon and all rights, ways, privileges and servitudes thereunto belonging; measuring ______ feet ( ______ ') on its ______ boundary by a depth between parallel lines of ______ ( ______ ') feet, beginning ______ ( ______ ') feet south of ______ and bordering and being adjacent to the ______ property line of Tract ______ of a Plat of Survey prepared by _____________ dated ______ ___ , ______ and filed of record and attached to that Cash Sale filed for record ______ ___ , ______ in Conveyance Book ______ , at Folio ______ , under Entry No. ______ of the records of ______ Parish, Louisiana, and being bounded on the north, east, and south by property belonging to _____________ , and west by Tract ______ of the aforementioned survey and being a portion of Tract ______ of the aforementioned Plat of Survey showing property belonging to _____________ . Being the same property acquired by _____________ and _____________ from _____________ by Act of Credit Sale dated ___ of ______ , ______ , in Conveyance Book ______ , at Folio ______ , under Entry No. ______ of the records of ______ Parish, Louisiana. Together with all rights of ingress and egress to and from said line or lines, or any of them, for the purposes and benefits aforesaid, Grantor shall have the right to fully use and enjoy the above described property, except as to the rights hereinabove granted. TO HAVE AND TO HOLD said easements, rights and rights-of-way unto the said Grantee, its successors and assigns, until said easements are exercised and also for as long thereafter as the same shall be useful for the above named purposes. THUS DON AND PASSED, in _____________ , Louisiana, on the presence of the undersigned, competent witnesses and me, Notary Public, on the day, month and year first above written and after a due reading of the whole. WITNESSES: ____________________________ ____________________________ _____________ ____________________________ ____________________________ _____________ ____________________________ _____________ ____________________________ NOTARY PUBLIC _____________