Statutory Declaration For Assignment

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Statutory Declaration for Assignment - Company
Proposed Assignment of
IN THE MATTER OF
CANADA
PROVINCE OF ALBERTA
(Type of Disposition)
TO WIT
(Name of Corporation)
of
,
,
(Full Address)
(Province)
(Postal Code
Telephone:
(Home)
(Business)
do solemnly declare:
That the Corporation hereby assumes full responsibility for the payment of all municipal,
county or improvement district taxes heretofore unpaid and for the payment of all taxes hereafter levied against
the lands covered by this disposition while such is in the Corporation's possession. The Corporation assumes
this responsibility notwithstanding that it may not have been possession of these lands when they were assessed
and placed on the assessment role by the municipality.
The Corporation agrees to perform and uphold all conditions of any range improvement
agreement or resource management operational plan that may form part of this disposition.
The Corporation agrees that the acquisition of a disposition on these public lands does not
convey the right to graze bison. In order to graze bison on these public lands, additional written authorization from
Environment and Sustainable Resource Development is required.
And I 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 and by virtue of the Canada Evidence Act.
Declared before me at the
of
in the province
Signature
of
,
this
day of
, A.D. 20
Title/Position
A Commissioner for Oaths in and for the Province of Alberta
Printed or stamped name of Commissioner for Oaths and date on
which appointment expires
Statutory Declaration for Assignment - Company
Dec 1, 2013
Page 1 of 1

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