(a) The following is a form of the creditor's certificate referred to in this article:

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, ________ County (Official Seal)

(b) All uncanceled entries appearing on the certificate of title at the time the creditor's certificate is issued shall be noted and entered on the creditor's certificate.

(c) The creditor's certificate shall bear an endorsement on its back in the following form:

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