Form A.3 - Foreign Ownership Of Land Regulations Page 2

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FOL-1
FORM A.3
2.
The interest is being acquired under a statutory exemption, section
of the Foreign Ownership of
Land Regulations. (If acquiring an interest under: 1) section 4(2), a copy of the letters probate or letters of administration must form
an exhibit to this declaration and 2) section 9, a copy of the agreement must form an exhibit to this declaration.)
Exemption Requirements
or
The interest is being acquired under O.C. No.
passed
Month/Day/Year
3.
The true consideration paid or payable in respect of the transaction * is as follows:
(give full details of purchase or rental as applicable, including total price paid)
*
4.
The present value of the land
, in my opinion, is $
(“land includes buildings and all other improvements affixed to the land”)
*Answer required only for transmissions, caveats and leases
AND I (WE) MAKE THIS SOLEMN DECLARATION
conscientiously believing it to be true and knowing that it is of the same force
and effect as if made under oath.
(SEVERALLY) DECLARED before me
at the
of
signature
in the Province of
this
day of
, 20
Signatory’s position with the corporation, if applicable
year
A Commissioner for Oaths in and for Alberta
Printed or stamped name of Commissioner for Oaths and
date on which appointment expires
This information is being collected to determine eligibility to acquire an interest in controlled land pursuant to the provisions of the
Agricultural and Recreational Land Ownership Act, the Foreign Ownership of Land Regulations and the Land Titles Act. Questions may be
rd
directed to: Director, Foreign Ownership of Land Administration, 3
Floor, John E. Brownlee Building, 10365 - 97 Street, Edmonton, Alberta
T5J 3W7, Telephone: (780) 427-6584, Fax: (780) 427-0938.
REG0025 (99/06)
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