The Affidavit of Identity and Distinction (La. R.S. 9:5501.1) is a sworn form published by the Jefferson Parish Clerk of Court. In it, the affiant states under penalty of law that he or she is not the same person as the debtor named in one or more recorded judgments, liens or privileges. It is one of the forms on the Clerk's website, not a tax form, even though readers may reach it while searching for Jefferson Parish property tax records. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original is published by the Clerk of Court.
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What is Affidavit of Identity and Distinction (La. R.S. 9:5501.1) – Jefferson Parish, LA?
The Affidavit of Identity and Distinction (La. R.S. 9:5501.1) is a sworn statement in which a person declares that he or she is not the same person as the debtor named in recorded judgments, liens or privileges, and asks that those records not be treated as applying to him or her. The Jefferson Parish Clerk of Court publishes the PDF.
The form is built in layers. The affiant gives a full name, age, date and place of birth, the last 4 digits of a Social Security number, the current address and the addresses of the preceding 10 years, employer and occupation, and marital status, with the spouse's name and the last 4 digits of the spouse's Social Security number if married. The affiant then identifies up to three recorded judgments, liens or privileges by type, creditor, amount, dates and Mortgage Office Book, Folio and Instrument number.
Two further statements follow. The affiant states the date on which a copy of the affidavit was mailed to the creditor by registered mail and submits proof of that mailing, and states that the creditor has failed to comply with La. R.S. 9:5501. The form ends with signature blocks for the affiant, witnesses and a notary public, and a separate Judgment Creditor Acknowledgment block that the creditor completes and signs before a notary.
The form warns that intentional falsification of the information subjects the affiant to penalties for the crime of injuring public records and false swearing. It is not a tax return or a property tax form.
Who needs to file Affidavit of Identity and Distinction (La. R.S. 9:5501.1) – Jefferson Parish, LA?
The main user is a person who is named, or who may be confused with a person named, as a debtor in a recorded judgment, lien or privilege and who wants to state under oath that he or she is a different person. On the form this person is the affiant.
Other people take part in completing it:
- Witnesses, who sign in the Witnesses block.
- A notary public, who completes the "Sworn to" block with a printed name and ID number.
- The judgment creditor, who may complete the Judgment Creditor Acknowledgment by giving a name, signature, printed name, title and company name, with a notary block of its own.
The affiant must be able to say that a copy of the affidavit was mailed to the creditor at its last known address by registered mail, and to supply proof of that mailing. The affiant must also say that the creditor has failed to comply with La. R.S. 9:5501.
The Clerk's forms page states that its forms are samples for use by qualified notaries or attorneys only, and that Clerk of Court employees are prohibited from providing legal advice or assistance with completing any form. If you are unsure whether the affidavit fits your situation, consult a notary or attorney.
When to file Affidavit of Identity and Distinction (La. R.S. 9:5501.1) – Jefferson Parish, LA
The affidavit is completed after a copy has been mailed to the creditor named in it. The form asks for the date of that mailing, by registered mail to the creditor's last known address, and says proof of the certified mailing (a mail slip or postal confirmation) is submitted with it. The affiant also states that the creditor has failed to comply with La. R.S. 9:5501.
The form prints no filing deadline and no validity period. The signing date and the date on which the notary swears the affiant appear at the end, so the notarial steps come last, after the information, the judgment descriptions and the mailing date are filled in. The Clerk's forms page adds that documents must be submitted with the appropriate fees.
Documents you need
- Proof of certified mailing, such as a mail slip or postal confirmation, showing that a copy of the affidavit was mailed to the creditor named in it at its last known address by registered mail; the form says this proof is submitted.
How to fill out Affidavit of Identity and Distinction (La. R.S. 9:5501.1) – Jefferson Parish, LA
Enter the parish and affiant details
At the top, write the parish. Then give the affiant's name, mailing address and marital status in the opening paragraph.
State your identity
Enter your full name, your age and your date of birth (day, month and year), and the city/parish/county and state of birth. Add the last 4 digits of your Social Security number.
List residence and previous addresses
Enter the address where you presently reside and your previous addresses for the preceding 10 years in the lines provided.
Give employment and spouse details
Enter your employer's name and address, the name and address of the location of employment, and your occupation. If married, enter your spouse's full name (maiden name if female) and the last 4 digits of the spouse's Social Security number.
Identify each judgment, lien or privilege
For each of up to three entries, enter the type, the creditor, the amount, the date, the filing date, and the Mortgage Office Book, Folio and Instrument number.
Record the registered mailing
Enter the day, month and year you mailed a copy of the affidavit to the creditor by registered mail, and keep the mail slip or postal confirmation to submit as proof.
Complete the execution lines and signatures
Enter the place and the day, month and year at "Thus done, read and signed at". The affiant signs in the Affiant space and the witnesses sign in the Witnesses space.
Have the notary complete the sworn block
The notary public fills in the "Sworn to" date, signs, and prints a name and ID number. Do this only in the notary's presence.
Complete the Judgment Creditor Acknowledgment
If the creditor acknowledges, enter the creditor's name, the type of document, the place and date, and the creditor's signature, printed name, title and company name. A notary block follows.
Review and download the completed PDF
Check that every entry matches your records and that nothing the form asks for is missing. Download or print the completed PDF from FillingPDF and assemble the package described under How to submit.
How to submit Affidavit of Identity and Distinction (La. R.S. 9:5501.1) – Jefferson Parish, LA
The form itself names no address, portal or other channel for delivery. The Jefferson Parish Clerk of Court publishes it on its website, and its forms page at https://jeffparishclerk.gov/forms/ states that all documents must be submitted with the appropriate fees; the Clerk's Fees page lists the charges, and no amount is given here.
Before you deliver it, assemble the package the form describes:
- The completed affidavit, signed by the affiant and the witnesses, and sworn before a notary public.
- Proof of certified mailing, such as a mail slip or postal confirmation, showing that a copy went to the creditor by registered mail.
- The Judgment Creditor Acknowledgment block, completed and notarized by the creditor, if the creditor signs it.
The Clerk's forms page says that Clerk of Court employees cannot give legal advice or help complete a form, so questions about content go to a notary or attorney. FillingPDF lets you fill out and download the PDF; submission follows the Clerk of Court's channels.
Common mistakes to avoid
- Signing the affidavit without a notary: the form is sworn, and it includes a notary block with a printed name and ID number.
- Leaving out the witnesses; the form has a Witnesses block that sits beside the Affiant signature.
- Submitting the affidavit without proof of certified mailing, when the form says the affiant submits a mail slip or postal confirmation.
- Writing the full Social Security number instead of only the last 4 digits for the affiant and, if married, the spouse.
- Listing fewer than the preceding 10 years of previous addresses.
- Describing a judgment, lien or privilege without its Mortgage Office Book, Folio and Instrument number, which the form asks for.
- Leaving out the spouse's full name (with maiden name if female) and Social Security digits when the affiant is married.
- Providing information the affiant knows to be false; the form warns that intentional falsification brings penalties for injuring public records and false swearing.
Frequently asked questions
What is the Affidavit of Identity and Distinction (La. R.S. 9:5501.1)?
It is a sworn form published by the Jefferson Parish Clerk of Court. The affiant states under penalty of law that he or she is not the debtor named in specific recorded judgments, liens or privileges, and that the creditor failed to comply with La. R.S. 9:5501.
Is this a Jefferson Parish property tax form?
No. The form concerns recorded judgments, liens or privileges, which it identifies by Mortgage Office Book, Folio and Instrument number. It is not a tax return and does not mention a property tax. It is one of the forms the Jefferson Parish Clerk of Court publishes.
Does the affidavit have to be notarized?
The form is sworn and has a notary public block that asks for a printed name and ID number, plus a block for witnesses and the affiant. The Clerk's forms page says its forms are for use by qualified notaries or attorneys, so have one review it.
What do I attach to the Affidavit of Identity and Distinction?
Attach proof of certified mailing, such as a mail slip or postal confirmation, showing that you mailed a copy to the creditor by registered mail at its last known address. The form states that the affiant submits this proof.
Can the Clerk of Court help me fill out this affidavit?
No. The Clerk's forms page says Clerk of Court employees are prohibited from providing legal advice or assistance with completing any form, and that the forms are samples for qualified notaries or attorneys.
What is the Judgment Creditor Acknowledgment on this form?
It is a separate block on the form in which the judgment creditor acknowledges that the affiant is not the person named in the identified document and that the affiant's property is not subject to the judicial mortgage from the judgment. The creditor signs it, and a notary block follows.
What information about me does the form ask for?
It asks for your full name, age, birth date and place, the last 4 digits of your Social Security number, current and 10-year previous addresses, employer and occupation, and marital status. If married, it also asks for your spouse's name and the last 4 digits of the spouse's Social Security number.
Can I fill out the Affidavit of Identity and Distinction online on FillingPDF?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service, not connected to the Jefferson Parish Clerk of Court, and does not file the affidavit; you submit it through the Clerk's channels.
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