Clerk of Civil District Court, Land Records Division - Cover Sheet

The Land Records cover sheet and the information contained herein neither replace nor supplement the recording or other papers as required by law. This form is used by the Clerk of Court for the purpose of initiating the Land Records recording. The recording party must fill out this form. Please circle all titles that apply to the instrument you are recording. Each document requires a separate Cover Sheet.

Recorded By: Name/Company: ______Signature: ______

Address: ______Phone: ______E-mail:______

Circle how the document is to be recorded: Conveyance Instrument Mortgage Instrument Both Neither

______: I decline to record in Mortgage ______: I decline to record in Conveyance

PLEASE CIRCLE ALL TITLES THAT APPLY Lien Sheriff's Lien Tax Abstract of Judgment Bill Board Lease Decl. of Immobilization Agreement/Mortgage Property Tax Deferment Privilege Acceptance of Declaration of Intent Sketch, Blueprint, Construction Contract Bond For Deed (Covenant Marriage) Lis Pendens Proces Verbal Survey Declaration of Acceptance of Donation Bond Forfeiture Paraphernality Loan Modification Quitclaim State Land Office Bond Mortgage Declaration of Title Acknowledgement Indentures Change Marriage Contract Ratification State Lien Acknowledgement Of Subdivision (Title Paternity Bond To Produce Child Dedication Meeting Minutes Redemption of Tax Sale Change) Deferred Loan Lien Rehabilitation Loan Act of Correction Bond/Criminal Agreement Merger Agreement Sublease Cancellation of Act of Deposit Agreement Demolition Lien Military Discharge Reinscription Subordinate Mortgage Act of Destination by Cancellation of Bond Department of Justice Reinscription of Owner For Deed Lien Mineral Lease Judgment Subordination Designation of Reinscription of Lease Subordination of A Act of Distribution Cancellation of Lease Foreclosure Comm. Minor's Mortgage And Rents Judgment Cancellation of Tax Reinscription of Subordination of Act of Immobilization Sale Discharge of Property Modification Mortgage Federal Tax Lien Act of Modification Release Of Assign. of Subordination Cancellation of Usufruct Dissolution Miscellaneous Leases & Rents Subordination of Lease Subordination of Act of Release Capital Contributions Donation Mortgage Release of Covenants Minor's Mortgage Mortgage With Future Release of Federal Tax Adoption Certificate of Authority Easement Advance Clause Lien Substantial Completion Certificate of Non- Multiple Indebtedness Affidavit Attachment Emancipation Mortgage Release of Lis Pendens Tax Redemption Form Cert. of Occupancy & Emergency Home Repair Release of Oil/Gas Affidavit of Compliance Completion Contract No Work Affidavit Lease Tax Sale Affidavit of Death And Emergency Home Repair Termination of Condo Heirship Certificate of Registry Lien Notary Bond Release of Restrictions Dec Affidavit of Deferment of Certs.of Release -IRS - Notice of Def. & Release of Right of Termination of Taxes Real Estate Only Escrow Agreement Foreclosure Sale Reversion Contract Change Order to Affidavit of Identity Contract Exchange Notice of Default Release of Right of Way Termination of Lease Affidavit of Intent to Notice of Disaster Termination of Possess Charter Expropriation Assistance Release of Road Home Partnership Affidavit of Lost Notice of Disqualification Termination of Assignment City Lien Federal Tax Lien Release for Future Assistance Rental Division Order Servitude Notice of Fed. Vend. Termination of Affidavit of Possession Collateral Mortgage Foreign Birth Certificate Lien, Rico Renunciations of Rights Tradename Affidavit of Small Foreign Marriage Notice of Limitation of Repossession Succession Commercial Lease Certificate Future Assistance Notification Report Termination of Trust Hazardous Sub. Cert. Request For Notice Of Agreement Conditional Use And Indemnity Notice of Potential Sale Seizure Tower Lease Agreement To Purchase or Sell Condo Declaration Home Equity Mortgage Notice of Seizure Residential Lease Tradename Home Program Mortg.(Homeownership Notice of Termination Of Amended Judgment Consent Assist) Work Resolution Transfer Amended Judgment of Home Program Possession Consent Judgment Regulatory Agreement Notification Restrictions Trust Nullification of Intent to Amended Mortgage Constables Deed Home Use Possess Revocation Tutorship Constables Notice of Housing Tax Credit Oil Gas and Mineral Revocation Of Federal Amendment Seizure Commitment Agreement Leases Tax Lien US Marshall Seizure Construction Permanent Revocation Of Power Application To Redeem Loan Agreement Interdiction Operating Agreement Of Attorney Usufruct Application to Redeem State Land Office Contract Judgment Option To Purchase Right of First Refusal Waiver Contract of Warrant of Arrest In Approved Zoning Plans Employment Judgment of Divorce Order Right of Way Permit Rem Conveyance Judgment of Name Road Home Covenant Articles of Incorporation Notification Change Ordinance Agreement Warranty Deed Road Home Final Articles of Organization Cooperative Endeavor Judgment of Possession Partition Disbursement Will LA Dept. of Hwy Road Home Hazard Withdrawal of Filed Assignment Corrective Assignment Expropriation & Recpt. Partnership Mitigation Agreement Notice Assignment of Road Home Small Federal Tax Lien Construction Contract Counter Letter LA Dept. of Hwy Sale Patent From State Rental Agreement Notice Perpetual Care Trust Federal Tax Lien Assignment of Judgment Covenants Labor/Material Lien Fund Sale Release UCC Assignment of Leases Credit Sale/Vendor's Sales Contract Modular Federal Tax Lien And Rents Lien Lease Extension Pledge Of Mortgage Note Homes Withdrawal Assignment of Mineral Federal Tax Lien Lease Dation En Paiement Lease Renewal Power Of Attorney Security Agreement Partial Release Leasehold Mortgages Prior Mortgage Holder Federal Tax Lien Assignment of Mortgage Declaration of Domicile Intercreditor Agreement Servitude Amended Assumption Decl. of Family Home Lien Private Act Settlement - Community Real Estate UCC Authorization Decl. of Homestead Procuration Sheriff Sale