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CIVIL ACTION NO.

__________ _____ JUDICIAL DISTRICT COURT IN AND FOR THE PARISH OF __________ STATE OF LOUISIANA ______________________________ VS ______________________________ PETITION TO QUIET TAX TITLE NOW INTO COURT, comes _________________________, of lawful age and a resident of __________ Parish, State of Louisiana, with respect represents: 1. MADE DEFENDANTS HEREIN ARE: ___________________________________________________________________________ 2. Petitioner, ____________________, is the sole owner of the below-described property situated in the Parish of _______________, Louisiana: __________________________________________________________________________ 3. An undivided one hundred percent interest in the above referenced property was bid in and adjudicated to ____________________ by ____________________, Tax Collector for the City of _______________, State of Louisiana, on the _____ day of _______________ 20_____, in _______________, Louisiana, for the delinquent city taxes for the year __________ and each year thereafter assessed in the name of ______________________________, and pursuant to said adjudication, the said ______________________________, Tax Collector for the City of ____________________, State of Louisiana, executed a Tax Deed to _________________________, conveying ______________________________ by an act dated the _____ day of _______________ 20_____, and recorded at _______________, at Folio __________, under Entry No. __________ of the Conveyance Records of __________ Parish, Louisiana, as will more fully appear from the certified copy of the said tax deed annexed hereto as Exhibit __________.

4.

A review of the mortgage records of __________ Parish, Louisiana, indicates there are no encumbrances affecting the subject property. 5. More than __________ years have elapsed since the date of the registry of the hereinabove referred to tax title in the Conveyance Office for the Parish of _______________, State of Louisiana, in which parish said property is situated, and petitioner, _________________________, is the sole owner of all rights, title and interest in and to the said property, and desire to have the title thereto confirmed and quieted in accordance with Article _____, Section _____ of the Louisiana Constitution of __________ and _______________. 6. In accordance with _______________, petitioner, ____________________, hereby gives notice to ______________________________ that the title to the hereinabove described property will be confirmed and quieted unless proceedings to annul the same are instituted within __________ days from the service of citation and petition in notice. WHEREFORE, petitioner prays that the defendants be notified that title to the hereinabove described property will be confirmed and quieted unless the proceedings to annul the same are instituted within __________ days from the date of service of citation and petition, and that after due proceeding and delays, there be judgment herein in favor of petitioner, ____________________, and his successors and assigns, confirming and quieting the title of the petitioners as sole owners thereof, in perfect ownership, and forever enjoining and prohibiting as sole owners thereof, in perfect ownership, and forever enjoining and prohibiting the said defendants, its heirs and assigns, from claiming or setting up any right, title or interest in and to said property for any part of portion thereof; and should there be any difference between the description of the property as it appears herein above and with the tax deed referred to herein, the said tax deed be performed to correspond to the property that is herein above described. RESPECTFULLY SUBMITTED: ______________________________ _________________________ _________________________ _________________________ _________________________ INFORMATION FOR SERVICE: PLEASE SERVE

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