Application To Register Plan Of Subdivision - Yukon Land Registration District

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Land Titles Act, 2015 — YUKON LAND REGISTRATION DISTRICT
APPLICATION TO REGISTER
PLAN OF SUBDIVISION
(s. 76)
TO THE REGISTRAR:
Applicant(s):
_________________________________________________________________
(print full name of applicant(s) as on current certificate of title)
Mailing Address to be shown on title: _______________________________________________
______________________________________________________________________________
I/We are the owner(s) of the certificate of title for the land(s) described below and apply to register the
attached plan of subdivision for these land(s):
Current Legal Description(s):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
New Legal Description(s):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
I/We request that you
(a) cancel the certificate(s) of title number(s): __________________________ (or attach list);
(b) issue a new certificate of title for each parcel shown on the plan of subdivision in the name of the
owner(s) named on the current certificate of title(s); and
(c) if the lands are located in any municipality issue a certificate of title for each road and public use
parcel shown on the plan of subdivision in the name of the municipality in which the lands are
located; or
(d) if the lands are not located in any municipality, issue a certificate of title for each road and public use
parcel shown on the plan of subdivision in the name of Commissioner, unless the approving authority
has made a request under s. 68(2) or 76(3) of the Act, a copy of which is attached.
If there are any active encumbrance(s) on the current certificate(s) of title for the land(s) described above,
the written approval of each encumbrancee is attached in accordance with s.77(1)(b)(iii) of the Act.
If this Application has been signed by an agent, the agent warrants that he or she has the authority to
sign.
Dated: _____________________, 20_______
SWORN / AFFIRMED BEFORE ME
)
)
______________________________________
at _____________ in _______________
)
(Signature)
on the ____ day of __________, 20____
)
)
______________________________________
__________________________________
)
(print full name)
(Signature of Notary or Commissioner)
)
)
__________________________________
)
______________________________________
(print full name)
)
(Signature)
)
Notary Public in and for Yukon;
)
______________________________________
or Notary Public or Commissioner for Oaths
)
(print full name)
in and for ___________________
)
(My commission expires:___________)
* All Notaries and Commissioners outside of Yukon must affix seal
RO: 1
June 20, 2016

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