The Request to Cancel Inscription(s) is a form of the Jefferson Parish Clerk of Court and Recorder of Mortgages that asks the Clerk to cancel one inscription, and any related inscriptions, recorded in the Mortgage Office. The Clerk's forms page says it must accompany every cancellation document filed for a promissory note or release. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the Clerk publishes the original at jeffparishclerk.gov.
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What is Request to Cancel Inscription(s) – Jefferson Parish, LA?
The Request to Cancel Inscription(s) is the Jefferson Parish Clerk of Court form that authorizes, directs and requests the Clerk and Recorder of Mortgages to cancel an inscription recorded in the Mortgage Office, together with any related inscriptions the requester lists.
The form cites La. Civil Code Article 3366 and La. R.S. 9:5174. It identifies each inscription by Mortgage Office Book, Folio and instrument number, and it names the debtor. It has room for the main inscription and five related inscriptions.
The requester also signs an acknowledgment: the undersigned is liable to, and shall indemnify, the Recorder of Mortgages and anyone relying on the request for any damages they suffer from that reliance, in accordance with La. R.S. 9:5174. The form then collects the requester's printed name, company and authorized-agent details when they apply, mailing address, e-mail address and phone number.
On its forms page, listed under Releases (Cancellations of Mortgage Inscriptions), the Clerk says this request must accompany all cancellation documents. It is a companion to the releases and affidavits on that page, not a release itself. The Clerk lists a separate form, Request to Cancel Related Inscriptions, among the same releases.
Who needs to file Request to Cancel Inscription(s) – Jefferson Parish, LA?
The party asking the Jefferson Parish Clerk of Court to cancel a mortgage inscription signs this form. The Clerk's page says all promissory notes and releases submitted for cancellation must be accompanied by it, completed with the Mortgage Office Book and Folio and/or the instrument number and the name and address of the party requesting cancellation.
- Individuals sign and print their own name.
- Companies enter the company name and sign through a Duly Authorized Agent on the "By" line.
The Clerk states that its forms are samples intended for use by qualified notaries or attorneys only, and that Clerk of Court employees may not give legal advice or help complete any form. The form signer accepts indemnity responsibility under La. R.S. 9:5174, so confirm the cancellation route with a notary or attorney. The page also says the form may be retyped to suit specific circumstances, but all language and required information must be preserved.
When to file Request to Cancel Inscription(s) – Jefferson Parish, LA
You complete this form whenever you submit a promissory note or release for cancellation of a mortgage inscription in Jefferson Parish, because the Clerk's forms page says it must accompany all cancellation documents. The form prints no separate due date of its own.
Have the Mortgage Office Book, Folio and instrument number of each inscription ready before you start, since the Clerk's page requires them (or the instrument number) to be complete. Any timing rules belong to the cancellation document the request travels with, such as the release you attach; check that document and the Clerk's Mortgage Release/Cancellation Manual.
Documents you need
- The promissory note or release being submitted for cancellation; the Clerk says this request must accompany it.
- For cancellations filed in Jefferson Parish: the cancellation executed in authentic form, before a Notary Public and signed by the affiant and two witnesses of lawful age.
- Any certificates the specific release requires. For example, the Clerk's page says a Release by Prescription must be submitted with mortgage certificates run in all names concerned covering the prescription period.
How to fill out Request to Cancel Inscription(s) – Jefferson Parish, LA
Identify the inscription to cancel
In the first line, enter the Mortgage Office Book, Folio and instrument no. of the inscription you want cancelled.
Enter the debtor name
On the Debtor name line, write the name of the debtor on that inscription.
List related inscriptions
Under And the following related inscriptions, enter the Book, Folio and instrument no. for each related inscription. There are five lines; leave unused lines blank.
Read the indemnity acknowledgment
The signer acknowledges liability and agrees to indemnify the Recorder of Mortgages and anyone relying on the request, under La. R.S. 9:5174. Read it before signing.
Date and sign the request
Enter the date on the DATE line and sign on the SIGNATURE line.
Print the signer's name
On PRINTED name of Above Signed Party, print the name of the person who signed.
Add company and agent details
If a company is the requester, enter it on Company (if applicable) and sign on the By line as Duly Authorized Agent. Otherwise leave these lines blank.
Enter the mailing address
Complete Mailing Address, City, State and ZIP for the party requesting cancellation; the Clerk requires the name and address.
Add e-mail and phone number
Enter your e-Mail Address and Phone #, including the area code in the parentheses.
Review, download and attach
Check each Book, Folio and instrument number against the recorded inscription, then download or print the completed PDF from FillingPDF and attach it to the cancellation document as described under How to submit.
How to submit Request to Cancel Inscription(s) – Jefferson Parish, LA
The form is submitted to the Jefferson Parish Clerk of Court together with the cancellation document it accompanies. The form prints no mailing address, portal or appointment rule of its own, so follow the Clerk's instructions for the cancellation document you are filing.
- With the cancellation document: attach the completed request to the promissory note or release you submit. The Clerk's page says the request must accompany all cancellation documents.
- Authentic form: the Clerk states that cancellations filed in Jefferson Parish must be in authentic form, executed before a Notary Public and signed by the affiant and two witnesses of lawful age.
- Fees: the Clerk says all documents must be submitted with the appropriate fees. The amount is not stated here; see the Fees page at https://jeffparishclerk.gov/forms/ or contact the Clerk's office.
- Help: Clerk of Court employees cannot provide legal advice or help complete the form.
FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Submitting a promissory note or release for cancellation without this request; the Clerk says it must accompany all cancellation documents.
- Leaving out the Mortgage Office Book and Folio and/or instrument number, which the Clerk requires on the request.
- Omitting the name and address of the party requesting cancellation.
- Retyping the form and dropping language or required information; a retyped form must preserve all of both.
- Signing the request without reading the La. R.S. 9:5174 indemnity acknowledgment above the signature line.
- Filing the cancellation document without the appropriate fees, which the Clerk requires with all documents.
- Expecting Clerk of Court employees to help complete the form; they may not provide legal advice or assistance.
Frequently asked questions
What is the Request to Cancel Inscription(s) form?
It is the Jefferson Parish Clerk of Court form that authorizes and requests the Clerk and Recorder of Mortgages to cancel an inscription, plus related inscriptions, recorded in the Mortgage Office. It cites La. Civil Code Article 3366 and La. R.S. 9:5174.
Is this a Jefferson Parish property tax form?
No. The form cancels inscriptions recorded in the Mortgage Office and says nothing about property tax. It is one of the Jefferson Parish Clerk of Court's forms listed under Releases (Cancellations of Mortgage Inscriptions), not a tax return or payment form.
Do I have to submit this form with every cancellation?
Yes, for the documents the Clerk lists. The Clerk's page says the request must accompany all cancellation documents, and that promissory notes and releases submitted for cancellation must include it, completed with Book and Folio and/or instrument number and the requester's name and address.
Can I retype the Request to Cancel Inscription(s)?
The Clerk says its mortgage and conveyance forms may be retyped to suit specific circumstances, but all language and required information must be preserved. Do not remove the indemnity acknowledgment or any of the identifying lines.
Can I fill out this form online?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not file the form with the Clerk; you submit it with your cancellation document through the Clerk's channels.
Can a company sign the request?
Yes. The form has a Company (if applicable) line and a By line marked Duly Authorized Agent, so a company enters its name and signs through its authorized agent. The printed name line is for the person who signs.
Will the Clerk's office help me complete the form?
No. The Clerk says Clerk of Court employees are prohibited from providing legal advice or helping with the completion of any form, and that the forms are samples for use by qualified notaries or attorneys only.
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