Forms Regulation (Land Titles Act), Alta. Reg. 480/1981
| Citation: | Forms Regulation (Land Titles Act), Alta. Reg. 480/1981 | |
| Enabling Statute: | Land Titles Act, R.S.A. 2000, c. L-4 | |
| URL: | http://www.canlii.org/ab/laws/regu/1981r.480/20050318/whole.html | |
| Version downloaded by CanLII on 2005-03-18 | ||
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AR 480/81 Land Titles - Forms
(Consolidated up to 326/2003)
ALBERTA REGULATION 480/81
Land Titles Act
FORMS REGULATION
1 The forms in the Schedule are the forms prescribed for the purposes of
the sections indicated on the forms.
AR 480/81 s1
2 For the purpose of ensuring that this Regulation is reviewed for
ongoing relevancy and necessity, with the option that it may be repassed in
its present or an amended form following a review, this Regulation expires
on November 1, 2006.
AR 480/81 s2;211/2001
3 Repealed AR 211/2001 s2.
FORM 1 Repealed AR 231/99 s2.
FORM 1.1
Land Titles Act
(Section 123)
NOTICE TO CREDITOR TO TAKE PROCEEDING
Take notice that the writ of enforcement (or specify other instrument
referred to in section 122) registered in the Land Titles Office on the (date) as instrument number
will cease to bind or charge the land or any interest in the land legally
described as (here described land) after the expiration of 60 days (or such
shorter time as the judge may order) following the date on which this
notice is served or sent to you by registered mail, unless in the meantime:
(a) you take proceedings in court on your writ of enforcement (or
other instrument) to substantiate the interest claimed by you in the above
land, and
(b) you file a certificate of lis pendens with the Registrar.
This notice is given pursuant to section 123 of the Land Titles Act.
Dated at this (date) .
To (the Creditor) at (address stated in writ of enforcement or other
instrument or other acceptable address for service)
Signature of person giving the notice
AR 331/88 s2;231/99;211/2001;251/2001
FORM 2 Repealed AR 538/82 s3.
FORM 2.1
Land Titles Act
(Section 122)
CREDITOR'S STATEMENT OF DEBTOR'S LAND
A.B., has an interest under the following instrument which charges or binds
the interests in land of ,
whose address is:
.
The instrument is:
(a) currently registered against other land with the registration
number , (copy attached),
or
(b) attached to this statement for registration.
The land in which the debtor has an interest is :
(LINC number(s): )
and the debtor's interest in the land is: .
The Registrar is requested to endorse a memorandum of the instrument on the
Certificate(s) of Title for this land.
I am aware that the Land Titles Act provides that a creditor who files or
continues the registration of a writ of enforcement or other instrument
referred to in section 122(1) without reasonable cause is liable to make
compensation to any person who has sustained damage as a result.
Date:
(Signature of creditor or agent of
creditor)
(Print name of person signing)
(Print office held if signing for
corporation)
AR 48/95 s3;231/99;211/2001;251/2001
FORM 3 Repealed AR 231/99 s3.
FORM 4
LAND TITLES ACT
(Section 35)
APPLICATION TO BRING LAND UNDER THE
OPERATION OF THE LAND TITLES ACT
To the Registrar:
I, (insert name), hereby apply to have the land hereinafter described
brought under the operation of the Land Titles Act. And I declare:
1 That I am the owner (or agent for , the
owner) of an estate in fee simple in possession (or of an estate of
freehold in possession for my life, or Otherwise as the case may require)
in that piece of land, being (here describe the land).
2 That such land, including all buildings, and other improvements
thereon, is of the value of dollars and no more.
3 That there are no documents or evidences of title affecting such
land in my possession, or under my control, other than those included in
the schedule hereto.
4 That I am not aware of any mortgage or encumbrance affecting the
said land, or that any other person has any estate or interest therein at
law or in equity, in possession, remainder, reversion or expectancy (if
there be any add: other than as follows: and set the same forth).
5 That the said land is now occupied (if unoccupied prefix un to
occupied; if occupied, add by whom, and state the name and addition of the
occupant and the nature of his occupancy).
6 That the names and addresses so far as known to me of the
occupants of all lands contiguous to the said land are as follows:
7 That the names and addresses so far as known to me of the owners
of all lands contiguous to the said land are as follows:
(If the certificate of title is not to be granted to the applicant, add:
And I direct the certificate of title to be granted in the name of (insert
name).)
Dated:
Made and subscribed at )
in the presence of ) (Signature)
AR 480/81 Form 4;231/99;251/2001
FORM 5
LAND TITLES ACT
(Section 35)
AFFIDAVIT VERIFYING APPLICATION IN FORM 4
I,
of
make oath and say:
1 That I am the applicant named in the application hereto annexed.
2 That the several statements contained in that application are true, to
the best of my knowledge and belief.
SWORN before me at the )
of )
in the of )
this ) (Signature).
day of , )
AR 480/81 Form 5;231/99;251/2001
FORM 6
LAND TITLES ACT
(Section 35)
AFFIDAVIT CONCERNING THE HUDSON'S BAY
COMPANY'S LAND
I,
of
, make oath and say:
1 I am an officer of the Hudson's Bay Company entitled to make this
affidavit by the authority and under the approval of the Minister of
Justice and Attorney General of Alberta.
2 Title to the land mentioned in the accompanying application now
produced and shown to me, and marked with the letter "A", passed to the
company by notification under the provisions of subclause 7 of clause 22 of
the Dominion Lands Act (or by letters patent issued-on stating date-as the
case may be).
3 The company is, at the date of this affidavit, absolutely entitled to
that land in fee simple and has not encumbered it in any way whatsoever.
4 And that land is not subject to any writ proceeding, and is not
chargeable with any arrears of municipal taxes, rates or assessments.
SWORN before me at the )
of )
in the of )
this ) (Signature).
day of , )
AR 480/81 Form 6;231/99;251/2001
FORM 7
LAND TITLES ACT
(Sections 36, 106)
RECEIPT OR DISCHARGE BY MORTGAGEE
OR ENCUMBRANCEE
I, , (the mortgagee, encumbrancee or transferee, as
the case may be) do hereby acknowledge to have received all the money (or
the sum of dollars being part of the money) to become
due under the mortgage (or encumbrance) made by to
which mortgage (or encumbrance) was registered in the Land
Titles Office as instrument number , that the
mortgage (or encumbrance) has not been transferred; and that the same (or
such part of the land as is hereinafter described, that is to say (here
give a description of the land to be discharged) is wholly discharged (or
discharged as to the sum of dollars).
In witness whereof I have hereunto subscribed my name this
(date)
SIGNED by the above named )
)
in the presence of )
)
(Signature)
AR 480/81 Form 7;538/82;231/99;251/2001
FORM 8
LAND TITLES ACT
(Section 64)
TRANSFER
I, A.B., being registered owner of an estate (state the nature of estate)
subject to registered encumbrances, liens and interests, if any, in all
that piece of land described as follows: (here describe land) do hereby, in
consideration of (here set out true consideration) transfer to E.F., all my
estate and interest in that piece of land.
(When a lesser estate describe such lesser estate.)
In witness whereof I have hereunto subscribed my name this
(date)
SIGNED by the above name )
)
A.B. in the presence of )
) (Signature)
)
AR 480/81 Form 8;538/82;231/99;251/2001
FORM 9
LAND TITLES ACT
(Section 64)
GRANT OF EASEMENT OR RIGHT OF WAY
I, A.B., being registered owner of an estate (state nature of estate),
subject to registered encumbrances, liens and interests, if any, in all
that piece of land described as follows: (here describe land), do hereby in
consideration of (here set out true consideration), grant to E.F., (if
applicable, add: the owner of that piece of land described as follows:
(here describe land) (then describe easement, right of way or other
privilege intended to be created or disposed of)
In witness whereof I have hereunto subscribed my name this
(date)
SIGNED by the above named )
)
A.B. in the presence of )
) (Signature)
)
AR 480/81 Form 9;538/82;231/99;251/2001
FORM 10
LAND TITLES ACT
(Section 66)
TRANSFER OF CROWN INTEREST
Her Majesty the Queen in right of the Province of Alberta, herein
represented and acting by the Honourable Minister of
being registered owner of an estate (state nature of
estate), subject to registered encumbrances, liens and interests, if any,
in all that piece of land described as follows: (here describe land), does
hereby in consideration of (here set out true consideration) transfer to
all the estate and interest of the Crown in that piece of
land. (When a lesser estate describe such lesser estate.)
In witness whereof the Honourable (or
, Deputy Minister of ) has hereunto subscribed his
name this (date)
(Signature)
AR 480/81 Form 10;538/82;231/99;251/2001
FORM 10.1
LAND TITLES ACT
(Section 73)
DISCHARGE OF EASEMENT, RESTRICTIVE
COVENANT PARTY WALL AGREEMENT OR
ENCROACHMENT AGREEMENT
I, A.B., being the registered owner of the dominant tenement (or We, C.D.,
E.F., being registered owners of all the dominant tenements) described as
follows: (here describe dominant land) under the easement, (restrictive
covenant, party wall agreement or encroachment agreement) registered in the
Land Titles Office as instrument number against the
land described as follows: (here describe servient land) acknowledge that
the easement, (restrictive covenant, party wall agreement or encroachment
agreement) is no longer required and is wholly discharged.
In witness whereof I have subscribed my name this (date)
Signed by the above named A.B. )
in the presence of )
) (Signature)
AR 195/85 s3;231/99;251/2001
FORM 11
LAND TITLES ACT
(Section 77)
ALBERTA LAND SURVEYOR'S CERTIFICATE
I, (name of surveyor), of the (place of residence), Alberta Land Surveyor,
make oath and say:
1 that the survey represented by this plan was made under my
personal supervision,
2 that the survey was made in accordance with good surveying
practices and in accordance with the provisions of the Surveys Act, and
3 that the survey was performed between the dates of
and , , and that this plan is true and
correct, and is prepared in accordance with the provisions of the Land
Titles Act.
SWORN before me at )
of )
in the of )
this day of , ) Alberta Land Surveyor
AR 480/81 Form 11;231/99;251/2001
FORM 11.1
LAND TITLES ACT
(Section 77)
MONUMENTATION CERTIFICATE
I, (name of surveyor), of the (place of residence), Alberta Land Surveyor,
make oath and say:
1 that the monuments required by section 47 of the Surveys Act have
been placed under my personal supervision, between the dates of and
, , and
2 that the position of each monument on the ground is in accordance
with the co-ordinates shown on the survey plan registered as number
and that the boundaries that have been established on the ground are in
accordance with the said co-ordinates, except for the following:
(List and describe any boundaries on the ground that vary from the
co-ordinates on the survey plan.)
SWORN before me at )
of )
in the of )
this day of , ) Alberta Land
Surveyor
A.D. )
)
A Commissioner for Oaths )
in and for the Province of Alberta )
AR 211/2001 s5;251/2001
FORM 12
LAND TITLES ACT
(Section 77)
DOMINION LAND SURVEYOR'S CERTIFICATE
I, (name of surveyor), of the (place of residence), Dominion Land Surveyor,
make oath and say:
That the survey represented by this plan has been made by me, and that the
said plan is correct and true and is prepared in accordance with the
provisions of the Land Titles Act.
SWORN before me at the )
of )
in the of )
this day of , ) Dominion Land Surveyor
AR 480/81 Form 12;231/99;251/2001
FORM 12A
LAND TITLES ACT
(Section 85)
CONSENT TO PLAN OF SUBDIVISION
I, A.B., having a registered interest or claimed interest by virtue of an
instrument or caveat registered in the Land Titles Office as instrument
number in respect of the following land: (here
describe land) hereby consent to the registration of a plan of subdivision
which was surveyed by , A.L.S. between
and
In witness whereof I have hereunto subscribed my name this
(date)
SIGNED by the above named )
)
A.B. in the presence of )
) (Signature)
)
AR 538/82 s4;231/99;251/2001
FORM 13
LAND TITLES ACT
(Section 95)
LEASE
I, A.B., being registered owner of an estate (state nature of estate)
subject to registered encumbrances, liens and interests, if any, in all
that piece of land described as follows: (here describe land) do hereby
lease to E.F., all that land to be held by him as tenant, for the term of
years, commencing on , at the yearly
rental of dollars, payable (here insert terms of
payments of rent), subject to the covenants and powers implied (also set
forth any special covenants or modifications of implied covenants.)
I, E.F., do hereby accept this lease of the above described land, to be
held by me as tenant, and subject to the conditions, restrictions and
covenants above set forth.
Dated:
SIGNED by the above named )
)
A.B., as lessor, and E.F., )
) (Signature of Lessor)
as lessee, in the presence )
)
of )
(Signature of Lessee)
AR 480/81 Form 13;538/82;231/99;251/2001
FORM 14
LAND TITLES ACT
(Section 100)
SURRENDER OF LEASE
In consideration of (here set out true consideration) I, E.F., the lessee
(or transferee) of lease registered in the Land Titles Office as instrument
number in respect of that piece of land described as
follows: (here describe land) do hereby surrender and yield up from the
date of to (here insert name of owner of reversionary
interest) the lease and the term therein created.
I, C.D., the mortgagee (or encumbrancee) under instrument number
affecting the leasehold estate surrendered herein do hereby
consent to the surrender of the lease. (Delete if not applicable.)
Dated:
SIGNED by the above named )
)
E.F., as lessee, and C.D., )
) (Signature of Lessee)
as mortgagee, in the presence )
)
of )
(Signature of Mortgagee)
AR 480/81 Form 14;538/82;231/99;251/2001
FORM 15
LAND TITLES ACT
(Section 102)
MORTGAGE
I, A.B., being registered owner of an estate (state nature of estate),
subject to registered encumbrances, liens and interests, if any, in all
that piece of land described as follows: (here describe land) in
consideration of (here set out the amount and particulars of the loan or
indebtedness), covenant with E.F., the mortgagee, of (here insert the
mortgagee's address):
That I will repay the sum lent to me (or the indebtedness) together with
interest thereon as follows: (here set out covenants for repayment of
principal and interest and special covenants, if any.)
And for better securing to the mortgagee the repayment in the manner set
out above of the principal sum and interest (and other amounts hereby
secured), I hereby mortgage to E.F. my estate and interest in the land
described above.
In witness whereof, I have hereunto signed my name this
(date)
SIGNED by the above named )
)
A.B. in the presence of )
) (Signature of mortgagor)
)
AR 480/81 Form 15;538/82;231/99;251/2001
FORM 16
LAND TITLES ACT
(Section 102)
ENCUMBRANCE
I, A.B., being registered owner of an estate (state nature of estate),
subject to registered encumbrances, liens and interests, if any, in all
that piece of land described as follows: (here describe land) and desiring
to render the land available for the purpose of securing to and for the
benefit of C.D., of (here insert the encumbrancee's address) the (sum of
money, annuity, or rent charge) hereinafter mentioned, do hereby encumber
the land described above for the benefit of C.D., with the (sum, annuity or
rent charge) of to be paid at the times and in the
manner following, that is to say: (here state the times appointed for the
payment of the sum, annuity or rent charge intended to be secured, the
interest, if any, and the events in which the sum, annuity or rent charge
shall become and cease to be payable, also any special covenants or powers,
and any modification of the powers or remedies given to an encumbrancee by
this Act): And subject as aforesaid C.D. shall be entitled to all powers
and remedies given to an encumbrancee by the Land Titles Act.
In witness whereof I have hereunto subscribed my name this
(date)
SIGNED by the above named )
)
A.B. in the presence of )
) (Signature of encumbrancer)
)
AR 480/81 Form 16;538/82;231/99;251/2001
FORM 17
LAND TITLES ACT
(Section 107)
POSTPONEMENT
I, (the mortgagee, encumbrancee, caveator or as the
case may be) in the (mortgage, encumbrance, caveat or other instrument)
registered in the Land Titles Office as instrument number
hereby agree to the postponement of my rights in the following land:
(here describe land) to the rights in and to that land of (the mortgagee,
encumbrancee, caveator or as the case may be) in the following instrument:
(here identify the instrument or instruments to be given priority; use
registration number if available.)
In witness whereof I have hereunto subscribed my name this
(date)
SIGNED by the above named )
)
in the presence of ) (Signature)
)
AR 480/81 Form 17;538/82;195/85;231/99;251/2001
FORM 18
LAND TITLES ACT
(Section 109)
TRANSFER OF MORTGAGE,
ENCUMBRANCE, OR LEASE
I, C.D., the mortgagee (encumbrancee or lessee, as the case may be), in
consideration of dollars, this day paid to me by X.Y.,
of the receipt of which sum I do hereby acknowledge,
hereby transfer to X.Y. the mortgage (encumbrance or lease, as the case may
be, describe the instrument fully), together with all my rights, powers,
title, and interest therein.
In witness whereof I have hereunto subscribed my name this
(date)
SIGNED by the said )
in the presence of ) C.D. (Transferor)
)
AR 480/81 Form 18;231/99;251/2001
FORM 19
LAND TITLES ACT
(Section 109)
TRANSFER OF PART OF
MORTGAGE OR ENCUMBRANCE
I, C.D., the mortgagee (encumbrancee or lessee, as the case may be) in
consideration of dollars this day paid to me by X.Y.,
of , the receipt of which sum I do hereby acknowledge,
hereby transfer to X.Y. dollars of the mortgage (or
encumbrance, as the case may be, describe the instrument fully) together
with all my rights, powers, title, and interest therein, and the sum so
transferred shall be preferred (or deferred or rank equally, as the case
may be) to the remaining sum secured by the mortgage (or encumbrance).
In witness whereof I have hereunto subscribed my name this
(date)
SIGNED by the said )
in the presence of ) C.D.
(Transferor)
)
AR 480/81 Form 19;231/99;251/2001
FORM 20
LAND TITLES ACT
(Section 115)
POWER OF ATTORNEY
I, A.B., being registered owner of an estate (here state nature of the
estate or interest), subject to registered encumbrances, liens and
interests, if any, do hereby appoint C.D., attorney on my behalf to (here
state the nature and extent of the powers intended to be conferred, as to
sell, lease, mortgage, etc.) the land described in the schedule, and to
execute all instruments, and do all acts, matters and things that may be
necessary for carrying out the powers hereby given and for the recovery of
all rents and sums of money that may become or are now due or owing to me
in respect of the land, and for the enforcement of all contracts, covenants
or conditions binding on any lessee or occupier of the land or on any other
person in respect of it, and for the taking and maintaining possession of
the land, and for protecting it from waste, damage, or trespass.
In witness whereof I have hereunto subscribed my name this
(date)
SIGNED by the above named )
)
A.B. in the presence of )
) (Signature)
)
AR 480/81 Form 20;538/82;231/99
FORM 21
LAND TITLES ACT
(Section 115)
REVOCATION OF POWER OF ATTORNEY
I, A.B., of hereby revoke the power of attorney given
by me to dated
, and recorded in the Land Titles Office as No.
In witness whereof I have hereunto subscribed my name this (date)
.
SIGNED by the above named )
A.B. in the presence of )
) (Signature)
AR 480/81 Form 21;231/99
FORM 21.1
LAND TITLES ACT
(Section 125)
DISCHARGE OF WRIT OF EXECUTION
I, A.B. the enforcement creditor under the writ of enforcement registered
in the Land Titles Office as instrument number against
the land described as follows: (here describe land against which the writ
was endorsed at the request of the creditor) do hereby discharge the writ
of enforcement (or do hereby partially discharge the writ of enforcement in
respect of (here set out enforcement debtor's name or land to be discharged
or both).
In witness whereof I have subscribed my name this (date)
.
Signed by the above named A.B. )
in the presence of )
) (Signature)
AR 195/85 s5;231/99;251/2001
FORM 22 Repealed AR 231/99 s20.
FORM 23 Repealed AR 231/99 s20.
FORM 24 Repealed AR 231/99 s20.
FORM 25 Repealed AR 231/99 s21.
FORM 26
LAND TITLES ACT
(Section 130)
CAVEAT FORBIDDING REGISTRATION
Take notice that I (insert name of caveator) claim (specify the
nature of the estate or interest claimed and the grounds on which the claim
is founded) in the land described as follows: (here describe land)
standing in the register in the name of ; and I forbid
the registration of any person as transferee or owner of, or of any
instrument affecting that estate or interest, unless the certificate of
title is expressed to be subject to my claim.
I designate the following address as the place at which notices and
proceedings relating hereto may be served:
In witness whereof I have hereunto subscribed my name this
(date) .
(Signature of Caveator or his Agent)
AR 480/81 Form 26;538/82;231/99
FORM 27
LAND TITLES ACT
(Section 131)
AFFIDAVIT IN SUPPORT OF CAVEAT
I, (the Caveator or his Agent) , make oath and say (or solemnly
declare) as follows:
1 I am the within named caveator (or agent for the caveator).
2 I believe that I have (or the caveator has) a good and valid claim on
the land (mortgage or encumbrance), and I say that this caveat is not
being filed for the purpose of delaying or embarassing any person
interested in or proposing to deal with it.
Sworn before me at the )
of )
in the of )
this day of , )
AR 480/81 Form 27;195/85;231/99
FORM 28
LAND TITLES ACT
(Section 132)
NOTICE OF CHANGE OF ADDRESS FOR SERVICE
To the Registrar:
Take notice that I hereby change my address for service as stated in my
caveat dated (date) filed in the Land Titles Office as
No. affecting the land described as follows:
and appoint
as my address for service.
Dated at the of in the Province of
Alberta, this (date) .
(Signature of Caveator or the Caveator's Agent)
AR 480/81 Form 28;231/99
FORM 28A
LAND TITLES ACT
(Section 136)
TRANSFER OF CAVEAT
I, A.B., the (agent for the) caveator under (or the (agent for the)
transferee of) caveat registered in the Land Titles Office as instrument
number affecting the land described as follows: (here
describe land) do hereby tranfer the caveat to E.F. together with all
rights granted by the Land Titles Act to me as caveator and subject to all
liabilities imposed by the Land Titles Act on me as caveator.
In witness whereof, I have hereunto subscribed my name this
(date)
SIGNED by the above named )
) (Signature of Caveator or his
Agent)
A.B. in the presence of )
)
Notice of Change of Address for Service
I, E.F. (or , agent for E.F.) designate the following
address as the place at which notices and proceedings relating to the
caveat or the subject matter of the caveat may be served.
Dated:
(Signature of Transferee or his Agent)
AR 538/82 s5;231/99;251/2001
FORM 29
Land Titles Act
(Section 138)
NOTICE TO CAVEATOR TO TAKE
PROCEEDINGS ON CAVEAT
Take notice that the caveat filed by you in the Land Titles Office on
(date) forbidding the registration of any person as transferee or
owner of, or of any instrument affecting, the estate or interest claimed in
your caveat in respect of (here describe land), unless the certificate of
title is expressed to be subject to your claim, will cease to have any
effect after the expiration of 60 days (or such shorter time as the judge
may order) following the date on which this notice is served or sent to you
by registered mail, unless in the meantime:
(a) you take proceedings in court on your caveat to substantiate
the interest claimed by you in the above land, and
(b) you file a certificate of lis pendens with the Registrar.
This notice is given pursuant to section 138 of the Land Titles Act.
Dated at on (date) .
To (the Caveator) at (address stated in the caveat or other
acceptable address for service)
(Signature of person giving the notice)
AR 480/81 Form 29;195/85;331/88;231/99;251/2001
FORM 30
LAND TITLES ACT
(Sections 123, 138 and 148)
IN THE COURT OF QUEEN'S BENCH
OF ALBERTA
JUDICIAL DISTRICT OF ________
BETWEEN
____________________Plaintiff
and
____________________Defendant
CERTIFICATE OF LIS PENDENS
This is to certify that in this action a claim has been made to enforce an
interest in land or some title or interest in land is called into question,
as follows: (here give particulars of the claim, and include registration
particulars of any registered instrument or caveat affected by the action)
in respect of the following land: (here describe land).
Dated at , Alberta, this (date)
(Clerk of the Court)
AR 480/81 Form 30;195/85;231/99;211/2001;251/2001
FORM 30A
LAND TITLES ACT
(Section 152)
WITHDRAWAL OF CERTIFICATE OF LIS PENDENS
I, A.B., the in court proceedings (here set out
particulars of the court action) and the person on whose behalf a
certificate of lis pendens was registered in the Land Titles Office as
instrument number against the land described as
follows: (here describe land) do hereby withdraw the certificate of lis
pendens.
In witness whereof, I have hereunto subscribed my name this
(date)
SIGNED by the above named )
A.B. in the presence of )
) (Signature)
)
AR 538/82 s6;231/99;251/2001
FORM 31
Land Titles Act
(Sections 155 and 156)
AFFIDAVIT OF ATTESTATION OF AN INSTRUMENT
I, A.B., of , in the make oath any
say:
1. I was personally present and did see who is known
to me to be the person named in the within (or annexed) instrument, duly
sign the instrument;
or
I was personally present and did see who, on the
basis of the identification provided to me, I believe to be the person
named in the within (or annexed) instrument, duly sign the instrument;
2. The instrument was signed at , in the
and I am the subscribing witness thereto;
3. I believe the person whose signature I witnessed is at least eighteen
(18) years of age.
Sworn before me at )
in the )
this day of , )
) (Signature)
AR 211/2001 s6;251/2001
OR
FORM 31
Land Titles Act
(Sections 155 and 156)
AFFIDAVIT OF ATTESTATION OF AN
INSTRUMENT BY MARKSMAN
I, A.B., of , in the , make oath and
say:
1. I was personally present and did see who is known
to me to be the person named in the within (or annexed) instrument duly
execute the instrument by making his mark on it;
or
I was personally present and did see who, on the
basis of the identification provided to me, I believe to be the person
named in the within (or annexed) instrument, duly execute the instrument by
making his mark on it;
2. The instrument was read over and fully explained to the person whose
execution by mark I witnessed before it was executed and he seemed to fully
understand it;
3. The instrument was executed at in the
and I am the subscribing witness thereto;
4. I believe the person whose execution by mark I witnessed is at least
eighteen (18) years of age.
Sworn before me at )
in the )
this day of , )
) (Signature)
AR 480/81 Form 31;331/88;231/99;251/2001
FORM 31.1
LAND TITLES ACT
(Section 161)
AFFIDAVIT VERIFYING
CORPORATE SIGNING AUTHORITY
I, A.B. of make oath and say:
1 I am an officer or a director of (here set out name of corporation)
named in the within or annexed instrument (or caveat).
2 I am authorized by the corporation to execute the instrument (or
caveat) without affixing a corporate seal.
SWORN before me at )
in the )
this day of , )
) (Signature)
AR 195/85 Form 31.1;231/99;251/2001
FORM 32
Land Titles Act
(Section 164)
AFFIDAVIT RE VALUE OF LAND
I, A.B., of , in the make oath any
say:
1. I am (one of) the transferee (or agent of the transferee) named in
the within or annexed transfer and I know the land therein described;
2. I know the circumstances of the transfer and true consideration paid
by me is as follows:
(Give full details: cash, assumption of mortgage, exchange or
other consideration with cash value of same.)
3. The current value* of the land**, in my opinion, is $______________.
* "value" means the dollar amount that the land might be expected to
realize if it were sold on the open market by a willing seller to a willing
buyer.
** "land" includes buildings and all other improvements affixed to
the land.
SWORN before me at )
in the )
this day of , )
) (Signature)
AR 480/81 Form 32;331/88;231/99;251/2001;326/2003
FORM 33
LAND TITLES ACT
(Section 179)
MINERAL CERTIFICATE
I hereby certify that at the date of this disposition from
to dated purporting to dispose of
the following interest in mines and minerals, namely
(state mines and minerals shown in disposition)
was the correct registered (name of registered owner)
owner under Certificate of Title No.
of all
(state mines and minerals shown in title) within, on or under
Dated: .
Registrar,
AR 480/81 Form 33;232/82;231/99;251/2001
FORM 34
LAND TITLES ACT
(Section 185)
REFERENCE BY REGISTRAR TO THE JUDGE
(Place and date)
In the matter of the registration of transfer (or as the case may be) A.B.
to C.D.
The Registrar under section 185 of the Land Titles Act hereby refers the
following matter to the judge, to wit:
(Here state briefly the difficulty that has arisen)
The parties interested, so far as the Registrar knows or has been informed
are: (Here give the names) .
(Signature),
(Official seal) Registrar
AR 480/81 Form 34;251/2001
FORM 35
LAND TITLES ACT
(Section 187)
DEMAND TO RETURN INSTRUMENT
TO (name of owner or whoever is custodian of instrument) .
You are hereby required to forward to the Land Titles Office instrument
registered as No. , affecting the following lands for
(description of land) as the same is required by me pursuant to the
provisions of the Land Titles Act for the purpose (purpose for which the
instrument is required and whether or not by direction of a judge).
Your attention is called to the provisions of sections 187 and 189 of that
Act, and the penalty therein provided for neglect or refusal to comply with
this demand.
A.B.,
Registrar
AR 480/81 Form 35;231/99;251/2001
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