Fill and Sign the Release Obligee Record Form

RELEASE BY OBLIGEE OF RECORD (Pursuant to R.S. 44:106) STATE OF LOUISIANA PARISH OF BE IT KNOWN that on this day of , 20 , before me the undersigned Notary, duly commissioned and qualified in and for the above named Parish and State, PERSONALLY CAME AND APPEARED: Represented herein by: Title: , its duly authorized representative, who after being duly sworn declared: (Please initial the appropriate box) ( ) The above named appearer is the oblige of record of the obligation secured by the below described mortgage or privilege. ( ) The above named appearer is the assignee of record of the obligation secured by the below described mortgage or privilege. Said assignment is duly recorded at: Registry Number MOB FOLIO The said secured obligation has been paid or otherwise satisfied or extinguished and further the sai d mortgage or privilege is hereby released. The Recorder of Mortgages in and for the Parish of is hereby requested, authorized and directed to cancel the recordation of the mortgage or privilege described as follows: Mortgage or Privilege granted by: In favor of In the sum of Dated Registry Number MOB FOLIO of the official records of Parish, Louisiana, which affects the following described property: WITNESSES: SIGNATURE: PRINTED NAME: COMPANY NAME: TITLE: ADDRESS: TELEPHONE NO.: Sworn to and subscribed before me this day of , 20 . __________________________________________ Notary Public Printed Name: ____________________________ ID or Bar Roll Number: ____________________ Commission Expires: _______________________