CLERK OF CIVIL DISTRICT COURT FOR THE PARISH OF ORLEANS LAND RECORDS DIVISION (504) 407-0005 E-mail: 1340 Poydras Street, 4 Floor New Orleans, Louisiana 70112 TH civilclerklandrecords@orleanscdc.com Dale N. Atkins Clerk of Court And Ex-Officio Recorder Parish of Orleans REQUEST TO CANCEL JUDGMENT BY PRESCRIPTION PLEASE CANCEL THE FOLLOWING JUDGMENT RECORDED IN THE RECORDS OF THE PARISH OF ORLEANS AS SAME HAS PRESCRIBED. I HAVE EXAMINED THE LAND RECORDS DIVISION RECORDS FOR A LIS PENDENS, REINSCRIPTION, RENEWAL, OR REVIVAL OF THIS JUDGMENT. I HAVE NOT FOUND ANY REINSCRIPTION, REVIVAL, RENEWAL OR LIS PENDENS OF THIS JUDGMENT. THEREFORE, I REQUEST THE CANCELLATION OF THIS JUDGMENT BASED ON PRESCRIPTION. I AGREE TO INDEMNIFY AND HOLD HARMLESS THE CLERK OF COURT AND EX-OFFICIO RECORDER AGAINST ALL LIABILITY FOR CANCELING THIS JUDGMENT. LIEN AGAINST ____________________________________________________________________________ __________________________________________________________________________________________ LIEN IN FAVOR OF _________________________________________________________________________ __________________________________________________________________________________________ COURT ___________________________________________________________________________________ DATE LIEN RENDERED _____________________________________________________________________ AMOUNT OF LIEN _________________________________________________________________________ RECORDED AS INSTRUMENT NUMBER _________________________, MORTGAGE INSTRUMENT NUMBER (MIN) ___________________, MORTGAGE OFFICE BOOK (MOB) __________________FOLIO _____________ PRINT NAME ______________________________________________________________________________ ADDRESS _________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ PHONE ___________________________________________________________________________________ SIGNATURE _______________________________________________________________________________ DATE ________________________________________________________________________________________ PLEASE FURNISH A CERTIFICATE OF CANCELLATION American LegalNet, Inc. www.FormsWorkFlow.com