FOL-1
FORM A.3
FORM 3
FOREIGN OWNERSHIP OF LAND REGULATIONS
CITIZENSHIP AND CORPORATE OWNERSHIP DECLARATION FOR NON-CANADIANS, NON-PERMANENT
RESIDENTS, AND FOREIGN CONTROLLED CORPORATIONS
[ For Controlled Land ONLY ]
Corporation Access Number:
IN THE MATTER of the registration of the
CANADA
(name type of instrument)
Schedule
affecting the land described as:
PROVINCE OF ALBERTA
(insert abbreviated description)
TO WIT:
containing
(acres or hectares)
(name of County, M.D., I.D. or Special Area)
__________________________________________________________________________________________________________
of ______________________________________________________________________________________________________________
(full address including street, municipality and country)
SOLEMNLY DECLARE THAT:
1.
the __________________________ named in the above described instrument and will hold the interest in the land
______________
beneficially and not as trustee(s) and not on behalf of any person and
a citizen(s) of the country of
______________
______________________________ and am (are) not a permanent resident(s) within the meaning of the Immigration Act, 1976 (Canada).
or
I am a member of the Law Society of Alberta and am the solicitor for the __________________________ named in the above described
instrument who will hold the interest in the land beneficially and not as trustee(s) and not on behalf of any person and who ______ a
citizen(s) of the country of ______________________________ and ______ not a permanent resident(s) within the meaning of the
Immigration Act, 1976 (Canada).
or
(Name of Corporation(s))
(Mailing address)
the __________________________ named in the above described instrument and will hold the interest in the land beneficially
_________
and not as trustee(s) and not on behalf of any person; and
a “foreign controlled corporation(s)” as defined in the Foreign
_________
Ownership of Land Regulations.
The majority of the shares or memberships are held by persons from the country of
______________________________. I am a person authorized under section 22(2) of the Foreign Ownership of Land Regulations to sign
on behalf of the __________________________ named in the above described instrument.
REG0025 (99/06)