Ga. Code § 44-2-242
CREDITOR'S CERTIFICATE
State of Georgia, __________________ County:
Registered Title No. __________________
Certificate No. __________________
I hereby certify that the title to the estate hereinafter mentioned in the following described land lying in said county, __________________ __________________ is registered under the provisions of the Land Registration Law and thereby vested in __________________ as security for a debt created by the holder of the owner's certificate of title to said estate, (here insert name of the holder of the owner's certificate); said debt being particularly described as follows: ____________________________________ with power conferred to sell the same after lawful advertisement, without foreclosure, in accordance with the provisions of the Land Registration Law, if any part of said debt is not paid at maturity. The estate in said land so held is as follows:____________________________________ subject to the following limitations, conditions, encumbrances, etc.,__________________ and such other as may be noted hereon.
Witness my hand and seal of office, this __________________ day of __________________, __________________, at __________________:__________________ __________________. M.
__________________ | |
Clerk, Superior Court,__________________ | |
(Official Seal) | County |
CREDITOR'S CERTIFICATE
Registered Title No. __________________
Certificate No. __________________
On lands registered in the name of __________________ Issued to __________________ Georgia, __________________County.
Entered and registered this __________________ day of __________________, __________________, at __________________: __________________ __________________. M.
__________________ |
Clerk, Superior Court |
OCGA § 44-2-242