Louisiana



CAPTION

ACT OF CORRECTION

STATE OF LOUISIANA:

PARISH OF ________________:

KNOW ALL MEN BY THESE PRESENTS:

THAT, ________________________________________________ being a resident of the full age of majority of _____________________, being hereinafter referred to as “Vendor”, and

THE DEPARTMENT OF TRANSPORTATION AND DEVELOPMENT OF THE STATE OF LOUISIANA, herein represented by CHARLES MCBRIDE, Right of Way Administrator, authorized by Policy and Procedure Memorandum Number 5, dated December 16, 1976, as amended and revised, issued by the Secretary of the Louisiana Department of Transportation and Development, hereinafter referred to as “Department”, do declare:

THAT, by ____________signed ____________, filed of record ___________, in COB _______, Page _________ of the official records of ___________ Parish, Louisiana, the Department did acquire a certain parcel of land designated as Parcel No. __________, as required for State Project No. ____________; and

THAT, the description of Parcel No. ________ in said __________ did read as follows:

DESCRIPTION OF PROPERTY

THAT, a revision was made by the Department on ________________, by which Parcel No. ________ was revised, and the description of Parcel No. ________ was revised,

THAT, Vendor and the Department agree to reform and correct the description of Parcel No. _______ to be in accordance with the revised plans, so that said Parcel No__________ shall be described as follows:

CORRECTED DESCRIPTION OF PROPERTY

FURTHER, the parties hereto do hereby adopt, ratify and affirm the ______________ above recited in all of its terms and conditions, except to correct the description of Parcel No. __________ as herein provided.

AND, we the parties hereto do hereby authorize the Clerk of Court of ____________ Parish, Louisiana, to make mention of this Act of Correction in the margin of his records under COB ________, Page ________ dated __________________, to serve as occasion may require.

IN TESTIMONY WHEREOF, the parties hereto have signed and executed and acknowledged this instrument as their free and voluntary acts, in triplicate originals in the presence of the undersigned competent witnesses, as of the ________ day of ______________, 20_____.

W I T N E S S E S :

_________________________________

_____________________________

_________________________________

_________________________________

_____________________________

_________________________________

DEPARTMENT OF TRANSPORTATION

AND DEVELOPMENT OF THE STATE

OF LOUISIANA

_________________________________

BY: __________________________

CHARLES MCBRIDE

RIGHT OF WAY ADMINISTRATOR

_________________________________

AFFIDAVIT

STATE OF LOUISIANA:

PARISH OF EAST BATON ROUGE:

BEFORE ME, the undersigned authority, this day personally appeared _________________________, to me personally known to be the identical person whose name is subscribed to the foregoing instrument as an attesting witness, who being first duly sworn on his/her oath, says: That he/she subscribed his/her name to the foregoing instrument as a witness, and that he/she knows ______________________________, who executed the same and saw them sign the same as their voluntary act and deed, and that he/she, the said _____________________________, subscribed his/her name to the same at the same time as an attesting witness.

_________________________

AFFIANT

SWORN TO and subscribed before me, this _____ day of __________, 20____.

_____________________________________

NOTARY PUBLIC

DEPARTMENT OF TRANSPORTATION

AND DEVELOPMENT OF THE

STATE OF LOUISIANA

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