Form 16 - Schedule

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SCHEDULE
Form 16
ADDITIONAL INFORMATION
page ____ of _____ pages
SCHEDULE
(insert letter)
I, ______________________________________________of __________________________________
in Manitoba, do hereby certify THAT:
1. I am the Chief Administrative Officer of the ________________________________________________.
2. The lands and premises described in the within application are within the boundary limits of
__________________________________________________________________________________.
3. The said lands and premises were sold at Tax Sale by Public Auction on ________________________,
20_____, under the provisions of The Municipal Act, C.C.S.M. Chap. M225, for arrears of taxes after
Notices of Sale were properly served, published and posted as provided for by section 367 of The
Municipal Act, and that the sale was openly and fairly conducted by an auctioneer.
4. The said lands and premises according to the Assessment Roll are as follows:
Roll # _______________________ CT# ______________________
Attach schedule if
additional room required
5. The purchaser(s) of the said lands and premises at the above-noted public auction was:
(set out name and address of party[ies] below)
……………………………………………………….…………….……………………………...……...….…….………/….../........
name of Chief Administrative
signature of Chief Administrative
date (YYYY/MM/DD)
Officer of Municipality
Officer of Municipality
This Schedule forms part of a Transmission of Land dated ____________________________________,
20
, (insert the date of the transmission) from
_________________________
_____________________________ to
.
signature of purchaser
signature of purchaser
IMPORTANT NOTICES
By virtue of section 194 of The Real Property Act, any statement set out in this document and signed by the party making the
statement has the same effect and validity as an oath, affidavit, affirmation or statutory declaration given pursuant to The
Manitoba Evidence Act.
The date at the bottom of this schedule must be the same as the execution date of the transmission.
Form: PR3

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