Alberta Regulation 218/2011

Animal Health Act

SWINE TRACEABILITY REGULATION

Filed: December 1, 2011

For information only: Made by the Lieutenant Governor in Council (O.C. 457/2011)

on December 1, 2011 pursuant to

section 69 of the Animal Health Act.

Table of Contents

Definitions

2 Application

3 Application of swine identifier

4 Manifests for shipment of swine

5 Contents of manifests

6 Shipper's duties

7 Transporter's duties

8 Receiver's duties

9 Retention of manifests

10 Submission of manifests

11 Medicine withdrawal time

12 False records or information

13 Expiry

Definitions

1 In this Regulation,

(a) "agent" includes an assembler, a buyer, an agent described in

the Bill of Lading and Conditions of Carriage Regulation

(AR 313/2002) and a licensed livestock dealer and licensed

livestock dealer's agent as defined in the Livestock

Identification and Commerce Act;

(b) "approved swine identifier" means a form of swine

identification that

(

i) meets the requirements of the Health of Animals

Regulations (Canada),

(ii) is assigned by the Alberta Pork Producers'

Development Corporation to a producer for the

producers premises pursuant to the Alberta Pork

Producers' Commission Regulation (AR 285/96), or

(iii) is approved by the Minister for the purposes of this

Regulation;

(c) "assembler" means a person who is required to be licensed to

assemble swine for the purposes of the Alberta Pork

Producers' Commission Regulation (AR 285/96);

(d) "buyer" means a buyer who is required to be licensed to buy

swine for the purposes of the Alberta Pork Producers'

Commission Regulation (AR 285/96);

(e) "manifest" means a record that meets the requirements of the

Act and this Regulation;

(f) "premises" means a premises as defined in the Traceability

Premises Identification Regulation (AR 200/2008);

(g) "premises identification number" means the premises

identification number assigned by the Minister under the

Traceability Premises Identification Regulation

(AR 200/2008);

(h) "processor" means a person who slaughters swine and

includes a buyer as a processor where the buyer purchases

swine for a processor;

(i) "producer" means a producer as defined in the Alberta Pork

Producers' Commission Regulation (AR 285/96);

(j) "receiver" means a person who receives swine and includes

an assembler, buyer, processor, agent and consignee as

described in the Bill of Lading and Conditions of Carriage

Regulation (AR 313/2002);

(k) "shipper" means a person who ships swine and includes a

producer, buyer, assembler, agent and a consignor as

described in the Bill of Lading and Conditions of Carriage

Regulation (AR 313/2002);

(l) "swine" means any member of the species Sus scrofa that is

commonly known as a domestic pig or farmed wild boar;

(m) "transporter" means a person who transports swine and

includes, without limitation, an agent, an assembler, a buyer

and a producer;

(n) "withdrawal time" means withdrawal time as defined in the

Act.

Application

2 This Regulation applies to all swine sent from one premises to

another for slaughter.

Application of swine identifier

3 A producer must apply, to each head of swine, an approved swine

identifier prior to transporting the swine or loading the swine for

transport.

Manifests for shipment of swine

4(1) Shippers, transporters and receivers must complete a manifest for

(

a) each shipment in a vehicle that transports swine where swine

are loaded and unloaded, and

(

b) each transfer of swine from one premises to another

premises.

(2) Where a transporter stops at more than one premises to load swine

onto a vehicle,

(

a) a manifest must be completed for each group or lot of swine

loaded onto the vehicle, and

(

b) approved swine identifiers must be applied to each head of

swine before each head of swine is loaded onto the vehicle.

Contents of manifests

5 A manifest required by this Regulation must include the following

information:

(

a) for shippers,

(

i) the shipper's name used for the purposes of the Alberta

Pork Producers' Commission Regulation (AR 285/96),

if the shipper is a producer, assembler or buyer;

(ii) the shipper's business name or operating name, or the

agent's name if the business name or operating name is

different than the shipper's name;

(iii) the premises identification number of the premises from

which the swine are being transported;

(iv) the swine type;

(

v) the approved swine identifier for the swine where the

shipper is applying the approved swine identifier to the

swine;

(vi) the number of swine leaving the premises;

(vii) the name of the receiver to whom the swine will be

delivered, if known;

(viii) the premises identification number of the receiver to

whom the swine will be delivered, if known;

(xi) if the shipper transports swine to the receiver, the

information required to be completed by transporters in

clause (c), except subclause (i);

(

x) the name of the individual who completes the manifest

on behalf of the shipper or the shipper's agent;

(xi) the signature of the individual who completes the

manifest referred to in subclause (x);

(

b) for transporters,

(

i) the transporter's name;

(ii) the driver's name;

(iii) a 24-hour telephone number to contact the transporter;

(iv) the tractor or vehicle licence number;

(

v) the trailer licence number if a trailer is attached to a

vehicle or tractor;

(vi) the number of swine loaded onto the vehicle;

(vii) the day, month and year the swine are loaded for

transport;

(viii) the time of day the swine leave the shipper's premises;

(ix) the name of the individual who completes the manifest

on behalf the transporter;

(

x) the signature of the individual who completes the

manifest referred to in subclause (ix);

(

c) for receivers,

(

i) the receiver's name;

(ii) the receiver's name according to the processor's licence

under the Meat Inspection Act (Canada) or the Meat

Inspection Regulation (AR 42/2003) if the receiver is a

processor and the receiver's name is different than the

name provided under subclause (i);

(iii) the receiver's name according to the receiver's licence

where the receiver is a buyer, assembler or processor

pursuant to the Alberta Pork Producers' Commission

Regulation (AR 285/96) if the receiver's name is

different than the name required for the purposes of

subclause (ii);

(iv) the premises identification number of the premises at

which the receiver is receiving swine;

(

v) the day, month and year the swine are received by the

receiver;

(vi) the time of day the swine arrive at the receiver's

premises;

(vii) the approved swine identifier where the receiver is

applying the approved swine identifier to the swine;

(viii) the number of swine that are received by the receiver;

(ix) the name of the individual completing the manifest on

behalf of the receiver;

(

x) the signature of the individual who completes the

manifest referred to in subclause (ix).

Shipper's duties

6 A shipper that is shipping swine must

(

a) complete the information described in

section 5(

a) on a

manifest,

(

b) provide the manifest to the transporter, and

(

c) retain a copy of the manifest.

Transporter's duties

7 A transporter who is carrying swine must

(

a) complete the information described in

section 5(

b) on the

manifest provided by the shipper before the swine leave the

shipper's premises,

(

b) leave a copy of the manifest with the shipper,

(

c) carry the manifest with the swine to the receiver identified on

the manifest,

(

d) provide the manifest to the receiver on delivery of the swine,

and

(

e) retain a copy of the manifest.

Receiver's duties

8(1) A receiver receiving swine must

(

a) on receipt of the swine delivered by the transporter, complete

the information described in

section 5(

c) on the manifest that

is delivered with the swine, or if no manifest is delivered

with the swine, record that information on a new manifest,

(

b) provide a copy of the manifest to the transporter,

(

c) submit the manifest within 48 hours of receiving the swine

from the transporter in accordance with

section 10, and

(

d) retain a copy of the manifest to be made available to the

shipper on request.

(2) If the receiver receives swine that do not bear an approved swine

identifier, the receiver must, before the swine are moved into a facility

and commingled with other swine, apply an approved swine identifier

to the swine and either

(

a) record the approved swine identifier on the manifest shipped

with the swine, or

(

b) record the approved swine identifier on a new manifest if a

manifest has not been delivered with the swine.

(3) If the receiver receives swine that bear an approved swine

identifier but there is no manifest delivered with the swine, the receiver

must record the approved swine identifier on a new manifest.

Retention of manifests

9(1) Shippers and receivers must keep manifests for a period of 5

years.

(2) Transporters must keep manifests for a period of one year.

(3) Shippers, transporters and receivers must, on the direction of the

Minister, provide manifests or records of manifests to the Minister

upon request.

Submission of manifests

10 Receivers must comply with this Regulation by sending

manifests, by a means acceptable to the Minister, to the Livestock

Identification Services Ltd. for entry into the database created for the

purposes of this Regulation on behalf of the Alberta Pork Producers'

Development Corporation.

Medicine withdrawal time

11 No person shall ship swine for slaughter unless the medicine

withdrawal time has passed for each head of swine included in the

shipment.

False records or information

12 No person shall create false records or provide false information

for the purposes of this Regulation.

Expiry

13 For the purpose of ensuring that this Regulation is reviewed for

ongoing relevancy and necessity, with the option that it may be

repassed in its present or an amended form following a review, this

Regulation expires on August 30, 2016.

--------------------------------

Alberta Regulation 219/2011

Alberta Capital Finance Authority Act

ALBERTA CAPITAL FINANCE AUTHORITY AMENDMENT REGULATION

Filed: December 1, 2011

For information only: Made by the Lieutenant Governor in Council (O.C. 482/2011)

on December 1, 2011 pursuant to

section 35 of the Alberta Capital Finance Authority

Act.

1 The Alberta Capital Finance Authority Regulation

(AR 258/2006) is amended by this Regulation.

Section 1.1 is amended by striking out "$11 000 000 000"

and substituting "$13 000 000 000".

--------------------------------

Alberta Regulation 220/2011

Judicature Act

JUSTICES OF THE PEACE COMPENSATION COMMISSION

ESTABLISHMENT AMENDMENT REGULATION

Filed: December 1, 2011

For information only: Made by the Lieutenant Governor in Council (O.C. 489/2011)

on December 1, 2011 pursuant to

section 42 of the Judicature Act.

1 The Justices of the Peace Compensation Commission

Establishment Regulation (AR 74/2009) is amended by this

Regulation.

Section 4(2) is amended by striking out "January" and

substituting "July".

--------------------------------

Alberta Regulation 221/2011

Municipal Government Act

WELL DRILLING EQUIPMENT TAX RATE AMENDMENT REGULATION

Filed: December 7, 2011

For information only: Made by the Minister of Municipal Affairs (M.O. L:213/11)

on November 30, 2011 pursuant to

section 390 of the Municipal Government Act.

1 The Well Drilling Equipment Tax Rate Regulation

(AR 221/2010) is amended by this Regulation.

Section 1 is amended by striking out "in 2011" and

substituting "in 2011 and 2012".

Section 3 is amended by striking out "December 31, 2011"

and substituting "December 31, 2012".

Alberta Regulation 222/2011

Marketing of Agricultural Products Act

ALBERTA ELK COMMISSION AMENDMENT REGULATION

Filed: December 9, 2011

For information only: Made by the Alberta Elk Commission on October 7, 2011 and

approved by the Agricultural Products Marketing Council on November 15, 2011

pursuant to

section 26 of the Marketing of Agricultural Products Act.

1 The Alberta Elk Commission Regulation (AR 256/2002) is

amended by this Regulation.

Section 3(3) is amended by striking out "in each following

year" and substituting "of each year following the year of

assessment under subsection (1)".

Section 4(1) is repealed and the following is substituted:

Confirmation or variance of service charges

4(1) At each annual Commission meeting, the Commission is to

submit for the approval of the eligible producers the following:

(

a) with respect to the service charges, the amount of

(

i) the base service charge, and

(ii) the product service charge,

that is to be charged for that year;

(

b) the products and services, if any, in respect of which the

product service charge is applicable for that year;

(

c) the manner of assessing the base service charge for that year.

Section 6(3) is amended

(

a) by striking out "fiscal year" and substituting "year";

(

b) by striking out "calendar year" and substituting "year".

Alberta Regulation 223/2011

Municipal Government Act

CAPITAL REGION ASSESSMENT SERVICES COMMISSION

AMENDMENT REGULATION

Filed: December 15, 2011

For information only: Made by the Lieutenant Governor in Council (O.C. 503/2011)

on December 15, 2011 pursuant to

section 602.02 of the Municipal Government Act.

1 The Capital Region Assessment Services Commission

Regulation (AR 77/96) is amended by this Regulation.

2 The

Schedule is amended by renumbering clause (b.1)

as (b.2) and by adding the following after clause (b):

(b.1) Town of Bon Accord

--------------------------------

Alberta Regulation 224/2011

Public Health Act

QUALIFICATIONS OF EXECUTIVE OFFICERS

AMENDMENT REGULATION

Filed: December 15, 2011

For information only: Made by the Lieutenant Governor in Council (O.C. 507/2011)

on December 15, 2011 pursuant to

section 66 of the Public Health Act.

1 The Qualifications of Executive Officers Regulation

(AR 51/99) is amended by this Regulation.

Section 4 is amended by striking out "January 31, 2012"

and substituting "January 31, 2019".

Alberta Regulation 225/2011

Tobacco Tax Act

TOBACCO TAX AMENDMENT REGULATION

Filed: December 15, 2011

For information only: Made by the Lieutenant Governor in Council (O.C. 513/2011)

on December 15, 2011 pursuant to

section 48 of the Tobacco Tax Act.

1 The Tobacco Tax Regulation (AR 273/83) is amended by

this Regulation.

Section 1 is amended

(

a) in subsection (1)

(

i) by adding the following after clause (a):

(a.1) "Alberta stamp" means an excise stamp, as defined

in the Excise Act, 2001 (Canada), that is approved

by the Minister in agreement with the Canada

Revenue Agency to mark packages of tobacco

products sold in Alberta to a consumer other than a

person referred to in

section 13(2.1);

(ii) in clause (

c) by striking out ", tobacco sticks or

fine cut tobacco" and substituting "or tobacco

sticks";

(iii) by repealing clause (

d) and substituting the

following:

(d) "case" means a container for the shipping of

packages or cartons;

(

b) in subsection (2)

(

i) in clause (

i) by striking out "into the tobacco

product";

(ii) by adding the following after clause (j):

(j.1) "marking permit holder" means a person who

holds a permit issued under

section 14.1;

(

c) by adding the following after subsection (3):

(4) For the purposes of sections 14.1, 14.2 and 14.4, tobacco

products do not include cigarettes contained in a 200-cigarette

package.

Section 12.3(3)(

d) is amended by striking out "cigarettes,

tobacco sticks, fine cut tobacco, cigars or".

Section 13 is amended

(

a) by repealing subsection (1.1) and substituting the

following:

(1.1) In the case of a tax-exempt sale by an exempt sale

retailer, only black stock may be sold.

(

b) by repealing subsection (2.01) and substituting the

following

(2.01) In the case of a tax-exempt sale by a duty free shop,

only black stock may be sold.

Section 14.1(4) is repealed and the following is

substituted:

(4) A marking permit holder shall obtain, in accordance with

the procedures set out in the Excise Act, 2001 (Canada),

Alberta stamps for marking packages of tobacco products.

Section 14.2 is amended by striking out "cigarettes, tobacco

sticks or fine cut tobacco" and substituting "tobacco products".

Section 14.4 is repealed and the following is substituted:

Marking of tobacco products

14.4 For the purposes of sections 14.2 and 14.3, each package of a

tobacco product that is manufactured in Canada, or that is imported

into Canada for sale in Alberta, must be marked by a marking permit

holder with one of the following Alberta stamps:

(

a) cigarettes - 20 units;

(

b) cigarettes - 25 units;

(

c) tobacco - 50 grams;

(

d) tobacco - 100 grams;

(

e) tobacco - 150 grams;

(

f) tobacco - 200 grams;

(

g) tobacco - 250 grams;

(

h) tobacco - 400 grams.

Discrepancy between package weight and actual weight

14.41 Where the actual weight of tobacco in a package is different

from the weight of tobacco indicated by the Alberta stamp, the actual

weight of tobacco in the package must be used in the computation of

tax payable under

section 3 of the Act.

Transitionals

14.42(1) In this section, "former regulation" means the Tobacco

Tax Regulation (AR 273/83) as it read immediately before the

coming into force of this section.

(2) Despite anything to the contrary in this Regulation, from April 1,

2012 to September 30, 2012, tobacco products may be marked

(

a) in accordance with the former regulation,

(

b) in accordance with this Regulation, or

(

c) in accordance with both the former regulation and this

Regulation.

(3) If tobacco products are marked in the manner described in

subsection (2)(a), the rules applicable under the former regulation

apply in respect of the tobacco products.

(4) If tobacco products are marked in the manner described in

subsection (2)(b), the rules applicable under this Regulation apply in

respect of the tobacco products.

(5) If tobacco products are marked in the manner described in

subsection (2)(c),

(

a) the rules applicable under the former regulation apply in

respect of the tobacco products marked in accordance with

the former regulation, and

(

b) the rules applicable under this Regulation apply in respect of

the tobacco products marked in accordance with this

Regulation.

Section 14.8(1) is repealed and the following is

substituted:

(1) A manufacturer shall not store in Alberta packages, cartons or

cases that bear the mark of another jurisdiction, except a mark-point.

9 This Regulation comes into force on April 1, 2012.

--------------------------------

Alberta Regulation 226/2011

Election Act

FEES AND EXPENSES AMENDMENT REGULATION

Filed: December 15, 2011

For information only: Made by the Lieutenant Governor in Council (O.C. 521/2011)

on December 15, 2011 pursuant to

section 207 of the Election Act.

1 The Fees and Expenses Regulation (AR 173/2004) is

amended by this Regulation.

Section 1 is amended

(

a) in clause (

a) by striking out "$130" and substituting

"$150";

(

b) in clause (

d) by striking out "$175" and substituting

"$200";

(

c) in clause (

f) by striking out "$1525" and substituting

"$1750";

(

d) by repealing clause (

g) and substituting the

following:

(

g) a fee of $5750 if a writ of election is issued and a poll is

held, including training of election staff, the conduct of

the official count and the post-election update of the

register of electors;

(

e) in clause (

h) by striking out "$0.17" and substituting

"$0.20";

(

f) in clause (

j) by striking out "$22" and substituting

"$25".

Section 3 is repealed and the following is substituted:

Election clerk fees

3 An election clerk may be paid the following:

(

a) a fee of $1455, where a writ of election is issued and no poll

is held;

(

b) a fee of $3850 if a writ of election is issued and a poll is held,

including training of election staff, the conduct of the official

count and the post-election update of the register of electors;

(

c) a fee of $0.17 per name included in the list of electors on

polling day;

(

d) a fee of $200 for attending a class of instruction called by the

Chief Electoral Officer;

(

e) when required to travel on official business, the rates

prescribed in the Public Service Subsistence, Travel and

Moving Expenses Regulation made under the Public Service

Act;

(

f) a supplemental fee of $19 for every 100 km, or portion

thereof, travelled in excess of the first 100 km of travel

during an election.

Section 4 is amended

(

a) in clause (

a) by striking out "$2800" and substituting

"$3220";

(

b) in clause (

d) by striking out "$150" and substituting

"$175".

Section 5 is repealed and the following is substituted:

Supervisory deputy returning officer fees

5 A supervisory deputy returning officer may be paid the

following:

(

a) a basic fee of $290 for duties performed on polling day or on

each advance polling day;

(

b) a fee of $60 for attending a class of instruction;

(

c) when required to travel on official business, the rates

prescribed in the Public Service Subsistence, Travel and

Moving Expenses Regulation made under the Public Service

Act.

Section 6 is repealed and the following is substituted:

Registration officer fees

6 A registration officer may be paid the following:

(

a) a basic fee of $230 for duties performed on polling day or on

each advance polling day;

(

b) a fee of $60 for attending a class of instruction;

(

c) when required to travel on official business, the rates

prescribed in the Public Service Subsistence, Travel and

Moving Expenses Regulation made under the Public Service

Act.

Section 7 is repealed and the following is substituted:

Deputy returning officer fees

7 A deputy returning officer may be paid the following:

(

a) a basic fee of $240 for duties performed on polling day or on

each advance polling day;

(

b) a fee of $60 for attending a class of instruction;

(

c) when required to travel on official business, the rates

prescribed in the Public Service Subsistence, Travel and

Moving Expenses Regulation made under the Public Service

Act.

Section 8(

a) is repealed and the following is substituted:

(

a) a basic fee of $200 for duties performed on polling day or on

each advance polling day;

Section 10(1)(

a) is repealed and the following is

substituted:

(

a) a maximum of $180 per day for the rental of a building

where one poll is held and $90 per day for each additional

poll held in the same building or part of the building, which

includes the cost of utilities, janitorial services and the supply

of all necessary furniture;

Alberta Regulation 227/2011

Judicature Act

ALBERTA RULES OF COURT (MISCELLANEOUS FORMS)

AMENDMENT REGULATION

Filed: December 15, 2011

For information only: Made by the Lieutenant Governor in Council (O.C. 522/2011)

on December 15, 2011 pursuant to

section 28.1 of the Judicature Act.

1(1) The Adult Adoption Regulation (AR 246/98) is

amended by this section.

(2) The

Schedule is repealed and the following is

substituted:

Schedule

Form 1

Application for Adoption Order

Adult Adoption Act

Clerk's stamp:

COURT FILE NUMBER

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPLICANT(

S) DOCUMENT APPLICATION FOR

ADOPTION ORDER

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

PERSON TO BE ADOPTED: (full name of person to be

adopted, as on birth document)

DATE OF BIRTH: _______________

BIRTH REGISTRATION NUMBER: _______________

1 Application

By making this application, I/we state:

? that I am/we are adults who want to adopt this person.

? that to support my/our application, I/we have enclosed

my/our affidavit(

s) and the other information required

by the Adult Adoption Act.

2 Signature(s)

(signature of applicant) year / month / day

(signature of applicant) year / month / day

NOTICE TO:

An application for an order for adoption of (full name of

person to be adopted, as on birth document) will be made to

the Court as shown below:

Court Date ___________________

Time ___________________

Where ___________________

Before Whom ___________________

WARNING

Pursuant to the Adult Adoption Act and the Alberta Rules of

Court, if you do not come to Court on the date and at the time

shown above either in person or by your lawyer, the Court may

make an adoption order in your absence.

Form 2

Affidavit of Applicant

Adult Adoption Act

Clerk's stamp:

COURT FILE NUMBER

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPLICANT(

S) DOCUMENT AFFIDAVIT OF

APPLICANT

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

PERSON TO BE ADOPTED: (full name of person to be

adopted, as on birth document)

DATE OF BIRTH: _______________

BIRTH REGISTRATION NUMBER: _______________

I, (legal name of applicant) , of (address) , in the Province of

Alberta, swear/affirm that:

1. I am applying for an adoption order: (check one of the

following)

? as an individual.

? jointly with my spouse, and a certified copy of our

marriage certificate is attached.

2. I am years old.

3. I have known (name of person to be adopted) for the past

years.

The nature of our relationship is: .

4. The reason I wish to adopt (name of person to be

adopted) is .

5. Sealing the court file: (check one of the following)

? I am applying to have the court file sealed. My reason

for wanting the court file sealed is__________________.

? I am not applying to have the court file sealed.

Sworn/Affirmed before me )

on __________________, 20____, )

at , Alberta )

_________________________________ ) Signature of Applicant

(Notary Public / Commissioner for Oaths )

in and for the Province of Alberta) )

Form 3

Affidavit of Person to be Adopted

Adult Adoption Act

Clerk's stamp:

COURT FILE NUMBER

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPLICANT(

S) DOCUMENT AFFIDAVIT OF PERSON

TO BE ADOPTED

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

PERSON TO BE ADOPTED: (full name of person to be

adopted, as on birth document)

DATE OF BIRTH: _______________

BIRTH REGISTRATION NUMBER: _______________

I, (legal name of applicant) , of (address) , in the Province of

Alberta, swear/affirm that:

1. I am years old. A certified copy of my birth

document is attached.

2. I consent to my adoption by (name(

s) of applicant(s)) .

I understand the nature and effect of an adoption order.

3. Change of name: (check one of the following)

? A certified copy of my change of name certificate is

attached.

? I have not had a change of name.

4. Citizenship/residency: (check one of the following)

? I am a Canadian citizen.

? I have been lawfully admitted to Canada for permanent

residence and notarized copies of my immigration

documents are attached.

5. The reason I want to be adopted by (name(

s) of

applicant(s)) is .

6. Court hearing: (check one of the following)

? I wish to appear in person before the judge considering

this adoption application.

? I do not wish to appear in person before the judge

considering this adoption application.

7. Sealing the court file: (check one of the following)

? I am applying to have the court file sealed. My reason

for wanting the court file sealed is .

? I am not applying to have the court file sealed.

Sworn/Affirmed before me )

on __________________, 20____, )

at , Alberta )

_________________________________ ) Signature of Person

(Notary Public / Commissioner for Oaths ) to be Adopted

in and for the Province of Alberta) )

Form 4

Adoption Order

Adult Adoption Act

Clerk's stamp:

COURT FILE NUMBER

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPLICANT(

S) DOCUMENT ADOPTION ORDER

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

DATE ON WHICH ORDER WAS PRONOUNCED:

NAME OF JUDGE WHO MADE THIS ORDER:

LOCATION OF HEARING: ______________, Alberta

THIS COURT having received the application of (name(

s) of

applicant(s)) under the Adult Adoption Act for an adoption order in

respect of:

(full name of person to be adopted, as on birth document),

born (date-yyyy/mm/dd)

Birth Registration Number .

AND THIS COURT having reviewed the evidence presented, and

being satisfied that the reasons for the adoption are valid and

acceptable and that it is not contrary to the public interest to grant this

application;

IT IS ORDERED THAT:

1. The application is granted as requested and the adoption is

effective from and after the date of this Order.

2. (Other applicable terms)

_______________________________

Justice of the Court of Queen's Bench

2(1) The Builders' Lien Forms Regulation (AR 51/2002) is

amended by this section.

(2) The

Schedule is amended

(

a) by repealing Form 6 and substituting the following:

Form 6

(Section 43)

Clerk's stamp:

COURT FILE NUMBER

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

PLAINTIFF(

S) DEFENDANT(

S) DOCUMENT CERTIFICATE OF

LIS PENDENS

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

To: Registrar of Land Titles (or the Minister of Energy)

This is to certify that proceedings have been taken in court to enforce a

certain lien registered by against (here

describe lands), which lien was registered pursuant to the Builders'

Lien Act in the Land Titles Office (or with the Minister of Energy) on

day of , as No. .

Dated at this day of , .

(Court Clerk)

(

b) by repealing Form 8 and substituting the following:

Form 8

(Section 52)

Clerk's stamp:

COURT FILE NUMBER

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

PLAINTIFF(

S) DEFENDANT(

S) DOCUMENT NOTICE TO

PROVE LIEN

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

To: (Name of lienholder)

Take notice that the undersigned hereby requires that you prove your

lien registered pursuant to the Builders' Lien Act on the day of

, in the Land Titles Office (or with the Minister of

Energy) as No. with respect to the following land:

(set out concise legal description)

And further take notice that unless within 15 days from the date of

service of this Notice upon you, you file in the office of the court clerk

at , Alberta, an affidavit giving detailed particulars of

your lien pursuant to

section 52 of the Builders' Lien Act, you will lose

your lien.

Dated at this day of , .

(Name of party giving notice)

3(1) The Court Rules and Forms Regulation (AR 39/2002) is

amended by this section.

(2) The

Schedule is amended

(

a) by repealing Forms 31 to 34 and substituting the

following:

Form 31

Application for Adoption Order

Child, Youth and Family Enhancement Act

(section 62)

COURT FILE NUMBER Clerk's stamp:

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPLICANT(

S) DOCUMENT APPLICATION FOR

ADOPTION ORDER

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

CHILD TO BE ADOPTED: (full name of child to be

adopted, as on birth document)

DATE OF BIRTH: _______________

BIRTH REGISTRATION NUMBER: _______________

1 Application

By making this application, I (we) state:

? that I (we) am (are) adults who want to adopt this child.

? that to support my (our) application, I (we) have

enclosed my (our) affidavit(

s) and the other information

required by

section 63 of the Child, Youth and Family

Enhancement Act.

I (We) respectfully request that the Court order the child's adoption by

me (us) and that the child be given the name .

2 Signatures

(signature of applicant) (print name)

(date-yyyy/mm/dd)

(signature of applicant) (print name)

(date-yyyy/mm/dd)

Form 32

Notice of Objection to Adoption

Child, Youth and Family Enhancement Act

(section 64)

COURT FILE NUMBER Clerk's stamp:

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPLICANT(

S) DOCUMENT NOTICE OF OBJECTION

TO ADOPTION

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

CHILD TO BE ADOPTED: (full name of child to be

adopted, as on birth document)

DATE OF BIRTH: _______________

BIRTH REGISTRATION NUMBER: _______________

1 I was served with a copy of an application for adoption of

this child on (date-yyyy/mm/dd) .

2 I object to the application being considered without a Court

hearing.

3 I understand that if I file this Notice of Objection to Adoption

with the court clerk, a hearing will be held.

4 I understand the applicant must serve a Notice of Adoption

Hearing on me and on all persons who were served with a

copy of the application, unless a person requested not to be

served with a Notice of Adoption Hearing.

5 I understand that the application for an adoption order will

proceed without a hearing if no Notice of Objection to

Adoption is filed, unless the judge orders a hearing.

Dated at (location) , on (date-yyyy/mm/dd) .

(signature of person objecting) (print name )

(mailing address) (phone number)

(fax number, if applicable)

If you object to the application being heard in the absence of the

applicant or anyone else who was served with a copy of the

application, you must file this Notice of Objection to Adoption with

the court clerk within 10 days of being served.

Form 33

Notice of Adoption Hearing

Child, Youth and Family Enhancement Act

(section 64)

COURT FILE NUMBER Clerk's stamp:

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPLICANT(

S) DOCUMENT NOTICE OF

ADOPTION HEARING

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

CHILD TO BE ADOPTED: (full name of child to be

adopted, as on birth document)

DATE OF BIRTH: _______________

BIRTH REGISTRATION NUMBER: _______________

NOTICE

I (We) will be applying to the Court for an adoption order under

the Child, Youth and Family Enhancement Act regarding this

child.

The application for an adoption order will be made to the Court

as shown below:\

Court Date (date)

Time (time)

Where (address)

Before Whom Presiding Justice in Chambers

WARNING

If you object to this application, you must attend the hearing. If

you do not come to Court on the date and at the time shown

above either in person or by your lawyer, the Court may make

an Order of Adoption in your absence.

(signature of applicant) (print name)

(date-yyyy/mm/dd)

(signature of applicant) (print name)

(date-yyyy/mm/dd)

Form 34

Adoption Order

Child, Youth and Family Enhancement Act

(sections 70 and 72)

COURT FILE NUMBER Clerk's Stamp:

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPLICANT(

S) DOCUMENT ADOPTION ORDER

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

DATE ON WHICH ORDER WAS PRONOUNCED:

NAME OF JUDGE WHO MADE THIS ORDER:

LOCATION OF HEARING: ______________, Alberta

THIS COURT having received the application of (name(

s) of

applicant(s)) under the Child, Youth and Family Enhancement Act

for an adoption order in respect of the child:

(full name of child to be adopted, as on birth document),

born (date-yyyy/mm/dd)

Birth Registration Number .

AND THIS COURT having heard the evidence presented, and being

satisfied that:

(

a) the applicant(

s) is (are) capable of assuming and willing to

assume the responsibility of a parent toward the child, and

(

b) it is in the best interests of the child that the child be adopted

by the applicant(s).

IT IS ORDERED THAT:

1. The application of (name(

s) of applicant(s)) is granted

and the child is, from and after the date of this order, the

adopted child of the applicant(

s) and the child shall hereafter

bear the given name(

s) and surname of (full name of

child) .

2. (Other applicable terms).

_______________________________

Justice of the Court of Queen's Bench

(

b) by repealing Forms 40 and 41 and substituting the

following:

Form 40

Notice of Appeal - Provincial Court Order

Child, Youth and Family Enhancement Act

(section 114)

COURT FILE NUMBER Clerk's Stamp:

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPELLANT(

S) RESPONDENT(

S) DOCUMENT Notice of Appeal -

Provincial Court Order

Child, Youth and Family Enhancement Act

REGARDING THE CHILD(REN)

PROVINCIAL COURT ORDER

MADE AT [City or Town], Alberta

ADDRESS FOR SERVICE AND [ADDRESS]

CONTACT INFORMATION OF Ph. [Phone#]

PARTY FILING THIS DOCUMENT Fx. [Fax#]

NOTICE

The appellant has filed an appeal in this matter. You are a

respondent. You have the right to state your side of this matter

before the court.

To do so, you must attend at the initial court appearance shown

below:

Court Date (date)

Time (time)

Where (address)

Before Whom Presiding Justice in Chambers

At the initial court appearance, the court will set a date for the

appeal to be heard, provide further direction regarding the

manner in which the appeal will be heard and address any other

preliminary matters the parties may wish to raise with the court

in advance of the appeal hearing, including any evidence the

court may permit or require to be given.

Go to the end of this document to see what else you can do and

when you must do it.

Nature of appeal to be put before the court:

1. The appellant appeals to the Court of Queen's Bench of

Alberta the decision of the Provincial Court Judge (name of

judge, if known) sitting at (city/town) , Alberta on

(date of Provincial Court hearing) , 20 (year) . The

Provincial Court Judge ordered (nature of the order being

appealed) .

Grounds on which the appeal is based:

Remedy sought:

4. In addition to the appeal of the decision of the Provincial

Court Judge, the appellant will also request an order for the

following other relief:

? a stay of execution of the order appealed pending the

hearing of the appeal;

? permission to introduce new evidence at the hearing of

the appeal;

? other: .

Evidence to be used in support of this appeal:

5. The record of the evidence taken, including the transcript,

and all other material in the possession of the Provincial

Court that pertains to the matter being appealed.

6. Any further evidence that the court may require or permit to

be given, including:

WARNING

If you do not come to court either in person or by your lawyer,

the court may give the appellant(

s) what they want in your

absence. You will be bound by any order that the court makes,

or another order might be given or other proceedings taken

which the appellant(

s) is/are entitled to without any further

notice of them to you. If you want to state your side of this

matter before the court, you or your lawyer must attend in court

on the date and time shown above. If you intend to ask the court

for permission to introduce new evidence when the appeal is

heard or considered, you must give reasonable notice of your

intention to the appellant.

Form 41

Notice of Appeal - Appeal Panel Decision

Child, Youth and Family Enhancement Act

(section 120.1)

COURT FILE NUMBER Clerk's Stamp:

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPELLANT(

S) RESPONDENT(

S) DOCUMENT Notice of Appeal -

Appeal Panel Decision

Child, Youth and Family Enhancement Act

ADDRESS FOR SERVICE AND [ADDRESS]

CONTACT INFORMATION OF Ph. [Phone#]

PARTY FILING THIS DOCUMENT Fx. [Fax#]

NOTICE TO THE RESPONDENT(

S) The appellant has filed an appeal in this matter. You are a

respondent. You have the right to state your side of this matter

before the court.

To do so, you must attend at the initial court appearance shown

below:

Court Date (date)

Time (time)

Where (address)

Before Whom Presiding Justice in Chambers

At the initial court appearance, the court will set a date for the

appeal to be heard, provide further direction regarding the

manner in which the appeal will be heard and address any other

preliminary matters that the parties may wish to raise with the

court in advance of the appeal hearing, including any evidence

the court may permit or require to be given.

Go to the end of this document to see what else you can do and

when you must do it.

Nature of appeal to be put before the court:

1. The appellant appeals to the Court of Queen's Bench of

Alberta the decision of the Appeal Panel made under the

Child, Youth and Family Enhancement Act on (date of

decision) , 20 (year) . The Appeal Panel decided that

(nature of the decision being appealed) .

Grounds on which the appeal is based:

Remedy sought:

4. In addition to the appeal of the decision of the Appeal Panel,

the appellant will also request an order for the following

other relief:

? a stay of execution of the decision appealed pending the

hearing of the appeal;

? permission to introduce new evidence at the hearing of

the appeal;

? other: .

Evidence to be used in support of this appeal:

5. The record of the evidence before the Appeal Panel,

including the transcript, if any.

6. Any further evidence that the court may require or permit to

be given, including:

WARNING

If you do not come to court either in person or by your lawyer,

the court may give the appellant(

s) what they want in your

absence. You will be bound by any order that the court makes,

or another order might be given or other proceedings taken that

the appellant(

s) is/are entitled to without any further notice of

them to you. If you want to state your side of this matter before

the court, you or your lawyer must attend in court on the date

and time shown above. If you intend to ask the court for

permission to introduce new evidence when the appeal is heard

or considered, you must give reasonable notice of your intention

to the appellant.

4(1) The Civil Enforcement Regulation (AR 276/95) is

amended by this section.

(2) Schedule 4 is amended in Forms 13 and 14 by striking

out "In accordance with the Alberta Rules of Court" and substituting "In

accordance with

section 35.10 of the Civil Enforcement Regulation

(AR 276/95)".

5(1) The Forms Regulation (AR 480/81) is amended by this

section.

(2) Form 30 is repealed and the following is substituted:

Form 30

Land Titles Act

(Sections 123, 138 and 148)

COURT FILE NUMBER Clerk's Stamp:

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

PLAINTIFF(

S) DEFENDANT(

S) DOCUMENT CERTIFICATE OF

LIS PENDENS

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

This is to certify that in this action a claim has been made to

enforce an interest in land or some title or interest in land is called

into question, as follows: (here give particulars of the claim, and

include registration particulars of any registered instrument or

caveat affected by the action) in respect of the following land:

(here describe land).

Dated at , Alberta, on (date) .

(Court Clerk)

(3) Form 34 is repealed and the following is substituted:

Form 34

Land Titles Act

(Section 185)

COURT FILE NUMBER Clerk's Stamp:

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPLICANT Registrar of Land Titles

DOCUMENT REFERENCE UNDER

THE LAND TITLES ACT

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

Reference to the Court under

section 185 of the Land Titles

Act.

Basis for the reference to be put before the Court:

1. This reference relates to the registration of transfer (or as the

case may be) A.B. to C.D.

2. The Registrar under

section 185 of the Land Titles Act hereby

refers the following matter to the judge:

(here state briefly the difficulty that has arisen).

3. The parties interested, so far as the Registrar knows or has

been informed, are: (here give the names) .

(Signature)

(Official seal) Registrar

6(1) The Irrigation Forms Regulation (AR 81/2000) is

amended by this section.

(2) Form 17A is repealed and the following is substituted:

Form 17A

Irrigation Districts Act

(Section 138/139)

Application for Confirmation

of Enforcement

COURT FILE NUMBER Clerk's Stamp:

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

APPLICANT The _______ Irrigation District

RESPONDENT(

S) DOCUMENT ORIGINATING APPLICATION -

CONFIRMATION OF (year)

ENFORCEMENT RETURN

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

NOTICE TO THE RESPONDENT(

S) This application is made against you. You are a respondent.

You have the right to state your side of this matter before the

Court.

Date ________________________

Time ________________________

Where ________________________

Before Presiding Justice in Chambers

On the date of the hearing, the Court may hear the Applicant

and any objecting parties, or set a date for a formal hearing.

Go to the end of this document to see what you can do and when

you must do it.

Basis for this claim:

1. The Respondent(

s) appear(

s) by the records of the Applicant

and the South Alberta Land Registration District to have an

interest in the following described parcels of land:

(describe land as on abstracts of title on record at

the Land Titles Office and the assessment roll)

2. The parcels or land are shown in the Applicant's (year)

Enforcement Return by reason of the fact that the amounts

shown in the billing notice as payable to the Applicant in the

amount of $________ in respect to the said parcels of land

have not been paid in accordance with

section 137(2) of the

Irrigation Districts Act.

Remedy sought:

3. An Order confirming the (year) Enforcement Return of

the Applicant.

4. _______________________________________________

Affidavit or other evidence to be used in support of this

application:

5. _______________________________________________

Applicable Acts and regulations:

6. Irrigation Districts Act (sections 138 and 139).

If you do not pay the above-noted amount seven (7) days prior

to the date set for the Court hearing, further costs will be

assessed and registered against the said lands.

WARNING

If you do not come to Court either in person or by your lawyer,

the Court may give the applicant what it wants in your absence,

including confirmation of the Enforcement Return insofar as it

relates to the above-described parcels of land, and the Court

may fix costs of this application. You will be bound by any

order that the Court makes.

If you want to take

part in this application, you or your lawyer

must attend in Court on the date and at the time shown at the

beginning of this form. If you intend to rely on an affidavit or

other evidence when the application is heard or considered, you

must reply by giving reasonable notice of the material to the

applicant.

7(1) The Maintenance Enforcement Regulation (AR 2/86) is

amended by this section.

(2) The

Schedule is amended

(

a) by repealing Form 1 and substituting the following:

Form 1

Statement of Finances

COURT FILE NUMBER Clerk's Stamp:

MEP FILE NUMBER

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

RECIPIENT (Maintenance Creditor):

PAYOR (Maintenance Debtor):

DOCUMENT AFFIDAVIT - STATEMENT

OF FINANCES

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

NOTICE TO THE MAINTENANCE DEBTOR:

You are required under the Maintenance Enforcement Act to

return a Statement of Finances when requested by the

Maintenance Enforcement Program. The form must be fully

completed and returned within 15 days of the date the Statement

is mailed to you. For items that do not apply, please mark as

"n/a" or "not applicable".

If you do not return a Statement of Finances when requested,

you will be required to pay a $200 penalty or you will be subject

to prosecution. Debtors who are prosecuted are subject to a fine

of up to $2,000 or three months imprisonment, or both.

I, __________ of __________, Alberta, MAKE OATH AND SAY:

1. I am the maintenance debtor in this matter;

2. Paragraphs A through M below completely and accurately

disclose my entire financial situation today:

A. Debtor Information

(last name) (first name) (middle name) (birthdate)

(present address (mailing address)) (area code) (home phone no.)

(area (daytime

(city) (province) (postal code) (email address) code) phone no.)

(street address or land description (if different from mailing address))

(social (driver's (personal (area (cell

insurance no.) licence no.) health no.) code) phone no.)

(maiden name (full name of your spouse

of your mother) or common-law partner) (area code) (fax no.)

(list your trade, profession or occupation)

Are you a member of a Union? ? Yes ? No

If yes, which local(s)?

B. Income (If income is from self-employment, see Paragraph C)

(name of present employer) (area code) (business phone no.)

(present address (street address)) (area code) (fax no.)

(city) (province) (postal code) (email address)

(nature of business) (position held) (start date)

$(gross monthly wages or salary) $(net monthly wages or salary)

(name of previous employer #1) (area code) (business phone no.)

(present address (street address)) (area code) (fax no.)

(city) (province) (postal code) (email address)

(nature of business) (position held) (start date)

$(gross monthly $(net monthly

wages or salary) wages or salary) (end date)

(name of previous employer #2) (area code) (business phone no.)

(present address (street address)) (area code) (fax no.)

(city) (province) (postal code) (email address)

(nature of business) (position held) (start date)

$(gross monthly $(net monthly

wages or salary) wages or salary) (end date)

What is your annual bonus from your employer? $

How much money per year do you receive from commission work? $

How much of a raise will you be receiving this year, and when?

Date: $

How much money do you receive from other part-time employment? $

Provide name, current address, telephone number of all part-time

employers:

How much money do you receive from income-producing hobbies? $

List all other income (dividends, rental income, annuities, pensions, etc.)

Annual income tax and/or GST rebates, Universal Child Care Benefit,

Child Tax Credit $

*List additional household income (spousal, adult interdependent

partner, roommate, etc.) $

TOTAL MONTHLY INCOME $

Have you filed income tax returns within the past 3 years? ? Yes ? No

If yes, provide the following information or attach copies of your returns

or Notices of Assessment:

(taxation year) $(net taxable income)

C. Income from Self-Employment

List any businesses in which you are involved as an owner, part owner,

shareholder, director or officer. If the business is a proprietorship,

partnership or joint venture, list the names, addresses and telephone

numbers of any partners, principals or participants:

(name) (address) (area code) (telephone no.)

(type of business) (name of business) (area code) (telephone no.)

(business location (street address))

(city) (province) (postal code) (email address)

Is this business a: ? proprietorship ? partnership

? joint venture ? corporation

What is the percentage of the business owned by you? %

What is the net book value of the business? $

What is the estimated market value of the business? $

Itemize your yearly income from this business below:

Salary $

Bonuses $

Dividends $

Other income (automobile allowances, expenses, etc.) $

(itemize and describe) $

Other benefits you receive from this business (company car, house, loans,

savings plans, share purchase options, etc.):

(itemize and describe) $(value)

Total Annual Income (of both sections above) $

Include a copy of the business's most recent Financial Statement.

Where are the business's bank accounts located?

(name of institution) (branch) (address) (account no.)

If the business is a corporation, complete the following:

? public corporation ? professional corporation

? private corporation ? other (describe)

Are you an Officer or Director of the corporation? ? Yes ? No

If yes, what is your title?

If the business is NOT a public corporation, complete the following:

Total number of shares issued and outstanding:

(class) (number) $(net book value)

Total number of shares of each class held by you:

(class) (number) $(net book value)

Total amount of all loans payable to you by the corporation:

Amount $

Interest earned (if any) $

Terms of repayment:

D. Monthly Expenses

Total

Expense

Amount

Paid by You

Rent or mortgage payments

(name of landlord or mortgagee)

Property taxes

Utilities

Groceries (food, toiletries, etc.)

Clothing

Transportation (fuel, parking, repairs,

public transit, etc.)

Personal expenses (prescription drugs,

medical and dental expenses, expenses

not covered by insurance, etc.)

Home or rental insurance

Vehicle insurance

Life insurance

Disability insurance, etc.

Maintenance

Alcohol, tobacco, other dependencies

Other (specify)

15. List your monthly payments (loans, credit cards, personal debts, etc.):

(type of (to whom $(amount $(monthly $(amount paid

debt) payable) outstanding) payment) by you)

TOTAL MONTHLY EXPENSES $

E. Dependants

List the members of your household who are financially dependent on you:

(name of dependants) (date of birth) (relationship to you)

List all orders or agreements requiring you to pay child or spousal

maintenance:

(date of (amount payable (person

order/agreement) per month) payable to) $(arrears)

F. Assets

Bank Accounts: List all chequing and savings accounts, term deposits,

annuities, etc.:

(name of financial (branch (type of

institution) address) deposit) (account no.) $(amount)

In the last 2 years have you used the services of a payday loan company or

immediate cheque cashing service? (e.g. Payday Loans or MoneyMart)

? Yes ? No

(name of company) (address)

Retirement Savings Plans: Provide information about all RRSPs, LIRAs,

LIFs, LRIFs, pensions, etc.:

(name of financial (branch (type (account $(current

institution) address) of plan) no.) value)

Real Estate: Fill in the required information regarding all real estate

(homes, rental properties, cottages, condominiums, etc.) inside and outside

the Province of Alberta in which you own an interest:

(municipal (legal $(purchase $(balance $(current market

address) description) price) owing) value)

List the name and address of the mortgagee/lender for each property

described above:

Motor Vehicles, etc.: Fill in the requested information regarding all motor

vehicles (cars, trucks, farm machinery, construction equipment, recreation

vehicles, aircraft, etc.) in which you own an interest:

(type make (serial $(purchase $(balance $(current market

model year) no.) price) owing) value) $(equity)

Securities: List your shares, bonds, etc. and their current market value:

(type) (number) (dividends (if any)) $(current market value)

List location of all certificates for all corporate holdings (both public and

private) and the name(

s) and address(es) of the brokers through whom you

deal:

(location of certificates) (name and address of broker)

G. Insurance

List all insurance policies that you own or in which you are a named

beneficiary. Include the insurance company granting the policy, the policy

number, the amount, the person insured, the premium and its cash

surrender value:

(insurance (policy (person $(cash surrender

company) no.) $(amount) insured) $(premium) value)

H. Property Held By A Trustee

List all properties or interests held by a trustee on your behalf:

(description of (name and address

assets held) (location of assets) of trustee)

I. Parties Who Owe You Money

List all parties who owe you money:

(name)

(reason for debt) (address) $(amount owing)

Are you the plaintiff in any lawsuit that may result in the court awarding

money to you? ? Yes ? No

(name of person being sued) $(amount claimed)

(your lawyer's name) (address)

(area code) (phone no.) (status of court action)

Have you settled a lawsuit for a sum of money that has not been paid yet?

? Yes ? No

(your lawyer's name) (amount owing) (payment date)

(lawyer's address) (lawyer's (area code) (phone no.))

(status of court action (if any))

Have you registered any debts owed to you against property?

? Yes ? No

(description of debt) (description of property)

(registration number of debt) (serial no. of property)

(name and address of owner)

Have you applied for any benefit, refund, compensation, grant, settlement

or other funds from any government department or program?

? Yes ? No

(government department (reasons

or program) $(amount applied for) for application)

J. Inheritances

List all estates in which you are the beneficiary of an inheritance:

(deceased's name) (name of executor/administrator)

(address of executor/administrator)

(name of lawyer acting for estate) $(value of inheritance)

K. Other Assets

List the kind, value and location of other assets (whether solely or jointly

owned) below:

Type of Asset

Description

Sole Owner

Location

Value

Yes No

Interests in other

businesses

? ?

Promissory notes,

judgment debts

? ?

Loans and mortgages

receivable

? ?

Objects of art, jewellery,

bullion, coins, cameras

? ?

Household furnishings and

appliances (stereos, TVs,

computers, crystal,

dishwashers, etc.)

? ?

Other assets not previously

listed

? ?

Cash (including foreign

currencies)

$CDN

L. Transfer of Property

Have you given away, sold, assigned or otherwise transferred any property

(land, buildings, vehicles, money, household furnishings, etc.) to anyone

within the last 12 months? Give details:

(description (to whom (date of $(amount of money

of property) transferred) transfer) received by you)

M. Bankruptcy

Have you begun a bankruptcy proceeding for which you have not been

discharged? ? Yes ? No

(name and address of trustee/agent) (area code) (phone no.)

Sworn before me )

on __________________, 20____, )

at , Alberta )

_____________________________ ) Signature of Debtor

A Commissioner for Oaths in and

for the Province of Alberta

or a Notary Public

(

b) Form 5 is amended by striking out "Notice of Motion"

and substituting "Application".

(

c) by repealing Form 6 and substituting the following:

Form 6

Maintenance Enforcement Support Agreement

COURT FILE NUMBER Clerk's Stamp:

MEP FILE NUMBER

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

RECIPIENT (Maintenance Creditor):

PAYOR (Maintenance Debtor):

DOCUMENT MAINTENANCE ENFORCEMENT

SUPPORT AGREEMENT

1. ? This agreement requires the payment of support for a (former)

spouse or adult interdependent partner. We, the Payor and

Recipient, certify there has never been a court order previously

granted requiring the Payor to pay spousal or adult interdependent

partner support for the Recipient.

? This agreement requires the payment of support for the child(ren)

named below. We, the Payor and Recipient, certify there has never

been

(

a) a court order, or

(

b) an agreement under

Part 5 of the Income and Employment

Supports Act, the Parentage and Maintenance Act or the

Income Support Recovery Act

requiring the Payor to pay support to the Recipient for any of the

children named below.

(full name of child) (birthdate (yyyy/mm/dd))

2. Previous Maintenance Enforcement Support Agreements

a. ? We have not previously made any Maintenance

Enforcement Support Agreements between us relating to

child, spousal or adult interdependent partner support,

b. ? This agreement replaces the Maintenance Enforcement

Support Agreement previously made between us on

(yyyy/mm/dd) , which was filed with the Court of

Queen's Bench, Judicial Centre of , on

(yyyy/mm/dd) as Court Action No. , or

c. ? This agreement supplements the Maintenance Enforcement

Support Agreement previously made between us on

(yyyy/mm/dd) , which was filed with the Court of

Queen's Bench, Judicial Centre of , on

(yyyy/mm/dd) as Court Action No. . Where there is

a conflict between the two agreements, the terms of this

agreement will be used.

IT IS AGREED THAT:

3. Guideline Income

a. The Payor's annual income as calculated in accordance with the

Child Support Guidelines is $ .

b. The Recipient's annual income as calculated in accordance with

the Child Support Guidelines is $ .

4. Base Child Support

a. The Payor shall pay to the Recipient the sum of $ per

month for the support of the child(ren) named above.

b. ? Payment will be made on the day of each month

commencing (yyyy/mm/dd) , or

? Payment will be made in two equal instalments of $ ,

payable on the and days of each month,

commencing (yyyy/mm/dd) .

5. Adjustment of Child Support by the Director of

Maintenance Enforcement

When the Director of Maintenance Enforcement is provided with

evidence that satisfies the Director that one or more children named

above are no longer financially dependent on the Recipient, or

otherwise do not qualify for the collection of support under the

policies of the Maintenance Enforcement Program, the Director will

adjust the amount of support payable as follows:

a. If one child is no longer eligible for support collection, then

the base child support payment shall be reduced to $

per month.

b. If children are no longer eligible for support

collection, then the base child support payment shall be

reduced to $ per month.

6. Additional Expenses Relating to the Child(ren)

a. ? Monthly Payments:

In addition to the base child support payment, the Payor shall pay to

the Recipient the sum of $ per month for additional expenses

for the child(ren) on the day of each month commencing

(yyyy/mm/dd) , calculated as follows:

(type of $(amount of

(name of additional payor's

child) expenses) contribution)

Should the Recipient cease to incur any additional expense listed

above, then the Payor shall no longer be required to contribute to that

expense.

b. ? One-time or Yearly Payments:

In addition to any other payments required by this agreement, the

Payor shall pay to the Recipient the following additional expenses for

the children:

(type of $(amount of ? payable ? payable

(name of additional payor's one time yearly

child) expense) contribution) (yyyy/mm/dd) (mm/dd)

Should the Recipient cease to incur any additional expense listed

above, then the Payor shall no longer be required to contribute to that

expense.

7. Termination of Child Support and Expenses

The obligation of the Payor to pay child support and expenses for a

child terminates

a. ? on the child no longer being considered a "child of the

marriage" within the meaning of the Divorce Act (Canada),

b. ? on the child no longer being considered a "child" within the

meaning of

Part 3 of the Family Law Act, or

c. ? .

8. Monthly Spousal or Adult Interdependent Partner

Support

a. The Payor shall pay to the Recipient the sum of $

per month for the support of the Recipient.

b. ? Payment will be made on the day of each month

commencing (yyyy/mm/dd) , or

? Payment will be made in two equal instalments of $ ,

payable on the and days of each month,

commencing (yyyy/mm/dd) .

9. Termination of Spousal or Adult Interdependent Partner

Support

The obligation of the Payor to pay support for the Recipient

terminates

a. ? on (yyyy/mm/dd) , or

b. ? .

10. One-time Spousal or Adult Interdependent Partner

Support

The Payor shall pay to the Recipient, for the support of the Recipient,

a one-time payment of $ , payable on (yyyy/mm/dd) .

11. Enforcement by the Director of Maintenance Enforcement

It is intended that this agreement be registered with the Director of

Maintenance Enforcement and that payments made under this

agreement be made pursuant to the Maintenance Enforcement Act to

the Director of Maintenance Enforcement.

12. Date of Agreement

This agreement is entered into on (yyyy/mm/dd) at (city or

town) , Alberta.

(address of Recipient)

(signature of Recipient) (yyyy/mm/dd) (print name of Recipient)

(signature of witness) (yyyy/mm/dd) (print name of witness)

(address of Payor)

(signature of Payor) (yyyy/mm/dd) (print name of Payor)

(signature of witness) (yyyy/mm/dd) (print name of witness)

Affidavit of Execution (Recipient)

My name is: (name of witness)

My address is: (address of witness)

I make oath and say that I was personally present and did see (name

of Recipient) , who is

? personally known to me, or

? known to me on the basis of photographic identification

provided

to be the person named herein, sign and execute the Maintenance

Enforcement Support Agreement for the purpose named therein.

Sworn before me )

on __________________, 20____, )

at , Alberta )

___________________________ ) Signature of Witness

A Commissioner for Oaths in and

for the Province of Alberta

or a Notary Public

Print or Stamp Name and Appointment Expiry Date

Affidavit of Execution (Payor)

My name is: (name of witness)

My address is: (address of witness)

I make oath and say that I was personally present and did see (name

of Payor) , who is

? personally known to me, or

? known to me on the basis of photographic identification

provided

to be the person named herein, sign and execute the Maintenance

Enforcement Support Agreement for the purpose named therein.

Sworn before me )

on __________________, 20____, )

at , Alberta )

_____________________________ ) Signature of Witness

A Commissioner for Oaths in and

for the Province of Alberta

or a Notary Public

Print or Stamp Name and Appointment Expiry Date

8 The Mandatory Testing and Disclosure Regulation

(AR 190/2007) is amended in

Schedule 1 by striking out

"Originating Notice of Application for Testing Order" and

substituting "Application for Testing Order".

9(1) The Matrimonial Property Regulation (AR 13/99) is

amended by this section.

(2) The

Schedule is amended by repealing the form headed

"CERTIFICATE OF LIS PENDENS" and substituting the

following:

Certificate of Lis Pendens

Matrimonial Property Act

COURT FILE NUMBER Clerk's Stamp:

COURT OF QUEEN'S BENCH OF ALBERTA

JUDICIAL CENTRE

PLAINTIFF(

S) DEFENDANT(

S) DOCUMENT CERTIFICATE OF

LIS PENDENS

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

To: Registrar of Land Titles

This is to certify that proceedings have been taken in (here

identify the court and the action number) under the Matrimonial

Property Act in which claims an interest in

the lands of , and no instrument

purporting to affect lands in respect of which this certificate of lis

pendens is filed shall be registered unless the instrument is

expressed to be subject to that claim.

Dated this day of , 20 .

(Court Clerk)

10(1) The Public Trustee General Regulation (AR 241/2004)

is amended by this section.

(2) Section 15(1)(a)(

i) is amended by striking out "next

friend" and substituting "litigation representative".

(3) The

Schedule is amended in Form 9

(

a) in the heading by striking out "Next Friend" and

substituting "Litigation Representative";

(

b) by striking out "next friend" wherever it occurs and

substituting "litigation representative".

11(1) The Workers' Compensation Regulation

(AR 325/2002) is amended by this section.

(2) Schedule C is repealed and the following is substituted:

Schedule C

Certificate

Workers' Compensation Act

COURT FILE NUMBER

COURT OF QUEEN'S BENCH OF ALBERTA Clerk's Stamp:

JUDICIAL CENTRE

PLAINTIFF WORKERS' COMPENSATION BOARD

DEFENDANT

DOCUMENT CERTIFICATE

ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT

The Workers' Compensation Board (the "WCB"), pursuant to

section 127 of the Workers' Compensation Act, hereby certifies

that:

(

a) there is payable by the above defendant to the WCB the

amount of $ ;

(

b) the basis of the payment is .

The WCB hereby directs the above defendant to make payment to

the WCB of the said amount.

This certificate is filed pursuant to the Alberta Rules of Court

(AR 124/2010).

Dated at , Alberta, this day of , 20 .

WORKERS' COMPENSATION BOARD

Per: SECRETARY

Account No.