Proof Of Service - Notice To End Tenancy Form Page 2
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1
2CONFIRMATION
Provide confirmation of service by providing one of the following:
Hand delivery receipt (to be completed by the person receiving the notice):
Name:
(Name of person receiving the notice)
On
Date:
I received
day
month
year
(description of what was given to you)
from
(Name of person who gave you the notice)
If left with an adult who lives with the tenant, the person must confirm the following or a witness must
I am an adult
I live with the tenant
confirm service:
Signature:
Registered Mail receipt
showing date and time of purchase and printed tracking report on separate page
Witness statement:
On
Date:
I observed
day
month
year
(Name of person serving notice)
give
(description of what was served)
to
(Name of person being served)
By:
Leaving a copy with the tenant
Check
Attaching a copy to the door or other conspicuous place as described in Special Details, page 1
one
Leaving a copy with an adult who apparently lives with the tenant as described in Special Details, page 1
Leaving a copy in the mailbox or mail slot at the tenant's residence
Name:
Date:
day
month
year
(Name of witness) (Please print)
Signature:
Fax transmission report attached.
Provide separate confirmation that the fax number is the tenant's current address for service, such as
recent communication with tenant indicating that they can receive documents at that number by fax.
SIGNATURE
I confirm I served the Notice to End Tenancy in the way described on Page 1.
Signature:
Date:
day
month
year
(Signature of person serving the notice)
Full name
of person serving the notice, including, if applicable, company name
Address
of person serving the document(s)
Same address as landlord (p. 1)
site/unit number
street number and street name
city
province
postal code
Your personal information is collected under section 26 (a) and (c) of the Freedom of Information and Protection of Privacy Act
for the purpose of administering the Residential Tenancy Act and Manufactured Home Park Tenancy Act. If you have any
questions regarding the collection of your personal information, please contact an information officer by calling 604-660-1020 in
Greater Vancouver; 250-387-1602 in Victoria; or 1-800-665-8779 elsewhere in B.C.
FOR MORE INFORMATION
RTB website:
Public Information Lines 1-800-665-8779 (toll-free)
Greater Vancouver 604-660-1020
Victoria 250-387-1602
page 2 of 2 pages
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