Upon payment of all amounts due to extinguish a tax lien pursuant to R.S. 47:2243 and 2244, the tax collector shall issue a termination certificate in the name of the tax debtor and file the termination certificate in the appropriate mortgage records. Upon receipt of the termination certificate, the recorder of mortgages shall mark the tax lien certificate or tax lien certificates cancelled. The termination certificate shall be sufficient if it is in the following form:
"CERTIFICATE OF TERMINATION
STATE OF LOUISIANA
PARISH OF ___________________
CITY OF __________________
On this day, the undersigned received from ______________________ the full amount due under that certain tax lien certificate(s) related to delinquent statutory impositions to [name of political subdivision] for years ___________________________ affecting the property described on Exhibit A, attached hereto and incorporated herein by reference.
NOW THEREFORE, I, under the authority conferred on me by R.S. 47:2245, hereby terminate each tax lien certificate hereinafter listed and direct and request the Clerk of Court and the Recorder of Mortgages for the Parish of _______ to cancel the following inscriptions:
Recorded in Mortgage Book _______, Page_______, Instrument No. _________, Registry No. _________.
Recorded in Mortgage Book _______, Page_______, Instrument No. _________, Registry No. _________.
Recorded in Mortgage Book _______, Page_______, Instrument No. _________, Registry No. _________.
Recorded in Mortgage Book _______, Page_______, Instrument No. _________, Registry No. _________.
DONE AND SIGNED at my office in _________________, Louisiana this __________________day of________________,_________. ATTEST:
_______________________________ __________________________________
Printed Name:___________________ [Name of tax collector] and Ex Officio Tax Collector
_______________________________
Printed Name:___________________"