§5173.1. Mortgage or privilege partial cancellation by financial institution; standard form
A financial institution seeking a partial cancellation of a mortgage or privilege
inscription pursuant to R.S. 9:5172 may use, and the recorder of mortgages for each and
every parish in the state of Louisiana shall accept, the following form as fully compliant as
a request for partial cancellation and act of partial release. The form contained in this
Section is not the exclusive form to be accepted for filing, and any other form meeting the
requirements of R.S. 9:5172 may be used and filed to partially cancel the recordation of a
mortgage or privilege:
REQUEST FOR PARTIAL CANCELLATION OF MORTGAGE OR PRIVILEGE
AND PARTIAL RELEASE BY LICENSED FINANCIAL INSTITUTION
PURSUANT TO R.S. 9:5172
State of ____________________
Parish or County of ______________________
BE IT KNOWN THAT on this ____day___________of 20____,
_________________ (name of financial institution), herein represented by its undersigned
duly authorized officer or officers, declares the following:
The institution is a licensed financial institution as defined in R.S. 9:5172 et seq., and
is the obligee or authorized agent of the obligee for the obligation secured by the mortgage
or privilege described as follows:
A mortgage or privilege granted by:_________
In favor of: _____
Date of Instrument: _____
Parish of Recordation: _____
Recording Data: _____
The institution grants a partial release of the above-described mortgage or privilege,
and does hereby release ONLY the following described property from the above-described
mortgage or privilege, to wit:
Legal description of released property is as follows or is hereby attached as Exhibit
"A":
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
The institution hereby requests, authorizes, and directs the Clerk of Court and
Ex-Officio Recorder of Mortgages for the Parish in which the above-described property is
situated to release the above-described property from the mortgage or privilege described
above and to partially cancel the above-described mortgage or privilege ONLY AS TO such
described property hereby released from the same.
The institution further expressly declares that the above-described mortgage or
privilege is not released or cancelled as to any other property described in such mortgage or
privilege, and such mortgage or privilege shall continue to encumber and remain in full force
and effect as to all other property described therein.
The recorder of mortgages shall not be liable for any damages resulting to any person
or entity as a consequence of partially cancelling a mortgage or vendor's privilege pursuant
to this form.
[Choose one of the two following signature options.]
THUS DONE AND SIGNED, before me, Notary Public, on the date set forth above.
________________________________________________
Name of officer and title
Name of financial institution
Requested mailing address
City, state, and zip code
__________________________________
Notary Public
(Printed name of notary and bar roll or notary number)
OR
THUS DONE AND SIGNED, by the two undersigned authorized officers of the
above named financial institution on the date set forth above.
________________________________________________
Name of officer and title
Name of financial institution
Requested mailing address
City, state, and zip code
________________________________________________
Name of officer and title
Name of financial institution
Requested mailing address
City, state, and zip code
Acts 2017, No. 62, §1.