Alberta Gazette — 15 March 2021 (Part II)
15 March 2021
Alberta — Gazette
Alberta Regulation 43/2021
Land Titles Act
PENDING REGISTRATION QUEUE REGULATION
Filed: February 17, 2021
For information only: Made by the Lieutenant Governor in Council (O.C. 056/2021)
on February 17, 2021 pursuant to
section 213 of the Land Titles Act.
Examination and registration out of order
1 For the purposes of
section 14.1(5) of the Act, an instrument or
caveat in the pending registration queue may be examined and
registered in an order other than the order in which it is entered in the
pending registration queue if, in the Registrar's opinion, doing so
(
a) is required to correct an error made by the Registrar,
(
b) is required to comply with a court order, or
(
c) will not affect any other estate or interest in respect of which
an instrument or caveat has been entered in the pending
registration queue in relation to the same land affected by the
instrument or caveat that is proposed to be examined and
registered out of order.
Prescribed time
2 For the purposes of
section 14.1(6)(a)(
i) and (ii) of the Act, the
prescribed time is 30 days after the date on which the Registrar first
returns the instrument or caveat for correction.
Expiry
3 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 May 31, 2024.
Coming into force
4 This Regulation comes into force on the coming into force of
section 7 of the Red Tape Reduction Implementation Act, 2020 (No. 2).
Alberta Regulation 44/2021
Land Titles Act
TARIFF OF FEES (EXPIRY DATE EXTENSION)
AMENDMENT REGULATION
Filed: February 17, 2021
For information only: Made by the Lieutenant Governor in Council (O.C. 057/2021)
on February 17, 2021 pursuant to
section 214 of the Land Titles Act.
1 The Tariff of Fees Regulation (AR 120/2000) is amended
by this Regulation.
Section 17 is amended by striking out "June 30, 2021" and
substituting "June 30, 2022".
--------------------------------
Alberta Regulation 45/2021
Government Organization Act
EDMONTON RESTRICTED DEVELOPMENT
AREA AMENDMENT REGULATION
Filed: February 17, 2021
For information only: Made by the Lieutenant Governor in Council (O.C. 059/2021)
on February 17, 2021 pursuant to
Schedule 5,
section 4 of the Government
Organization Act.
1 The Edmonton Restricted Development Area Regulations
(AR 287/74) are amended by this Regulation.
2 The
Schedule is amended
(
a) in item 6, describing land located in Township 52,
Range 25, West of the Fourth Meridian, in respect of
SECTION 30, by striking out the following:
SECTION 30: Lot 2, Block 60, Plan 062 0745; All that area of Plan
882 2479 within the southeast quarter of
section 30;
All that area of the original government road
allowance (199 Street) lying between Plan 882 2479
and Plan 062 0745.
and substituting the following:
GOVERNMENT All that area of the original government road
ROAD allowance (199 Street) lying between Plan 882
ALLOWANCE: 2479 and Plan 062 0745 EXCEPTING THEREOUT
Plan 192 3502.
SECTION 30: Lot 2, Block 60, Plan 062 0745; All that area of Plan
882 2479 within the southeast quarter of
section 30.
(
b) in item 8, describing land located in Township 51,
Range 23, West of the Fourth Meridian, in respect of
SECTIONS 29, 30 & 31, by striking out the
following:
SECTIONS Plan 892 0346 showing survey for descriptive
29, 30 & 31: purposes of a right of way for a
Transportation/Utility Corridor; Plan 042 3867.
and substituting the following:
SECTIONS Plan 892 0346 showing survey for descriptive
29, 30 & 31: purposes of a right of way for a
Transportation/Utility Corridor; Plan 042 3867, Plan
202 1593 and Plan 202 1598 EXCEPTING
THEREOUT Plan 202 1594 and Lot 1 of Plan
202 1595.
--------------------------------
Alberta Regulation 46/2021
Builders' Lien Act
BUILDERS' LIEN FORMS
AMENDMENT REGULATION
Filed: February 24, 2021
For information only: Made by the Lieutenant Governor in Council (O.C. 061/2021)
on February 24, 2021 pursuant to
section 70 of the Builders' Lien Act.
1 The Builders' Lien Forms Regulation (AR 51/2002) is
amended by this Regulation.
Section 3 is amended
(
a) in clause (
a) by adding "or Form 3.1" after "Form 3";
(
b) in clause (
b) by adding "or Form 4.1" after "Form 4".
Section 7.1 is repealed.
--------------------------------
Alberta Regulation 47/2021
Citizenship Act (Canada) and
Agricultural and Recreational Land Ownership Act (Alberta)
FOREIGN OWNERSHIP OF LAND
AMENDMENT REGULATION
Filed: February 24, 2021
For information only: Made by the Lieutenant Governor in Council (O.C. 062/2021)
on February 24, 2021 pursuant to
section 35 of the Citizenship Act (Canada) and
section 2 of the Agricultural and Recreational Land Ownership Act (Alberta).
1 The Foreign Ownership of Land Regulations (AR 160/79)
are amended by this Regulation.
Section 22 is amended
(
a) in subsection (1) by striking out "Form 1, 2, 3 or 4"
and substituting "Form 1, 1.1, 2, 2.1, 3, 3.1, 4 or 4.1";
(
b) in subsection (4) by striking out "Forms 1, 2, 3 and 4"
and substituting "Forms 1, 1.1, 2, 2.1, 3, 3.1, 4 and 4.1".
Section 22.1 is repealed.
--------------------------------
Alberta Regulation 48/2021
Dower Act
FORMS AMENDMENT REGULATION
Filed: February 24, 2021
For information only: Made by the Lieutenant Governor in Council (O.C. 063/2021)
on February 24, 2021 pursuant to
section 27 of the Dower Act.
1 The Forms Regulation (AR 39/2000) is amended by this
Regulation.
Section 1.1 is repealed.
Section 2 is amended by striking out "March 31, 2021" and
substituting "March 31, 2026".
4 The
Schedule is amended by repealing Forms C, C.1, D,
D.1, E, E.1 and F and substituting the following:
Form C
Dower Act
(Sections 5, 6 and 9)
Certificate of Acknowledgment by Spouse
1 This document was acknowledged before me by
apart from her husband (or his wife (or his or her spouse)).
2 acknowledged to me that she (or he)
(
a) is aware of the nature of the disposition (or agreement),
(
b) is aware that the Dower Act gives her (or him) a life estate in
the homestead and the right to prevent disposition of the
homestead by withholding consent,
(
c) consents to the disposition (or agreement) for the purpose of
giving up the life estate and other dower rights in the
homestead given to her (or him) by the Dower Act, to the
extent necessary to give effect to the said disposition (or
agreement),
(
d) is executing the document freely and voluntarily without any
compulsion on the part of her husband (or his wife (or his or
her spouse)).
Dated at in the Province of
on (date) .
(Title of officiating officer)
Form C.1
Dower Act
(Sections 5, 6 and 9)
Certificate of Acknowledgment by Spouse
1 This document was acknowledged before me by
apart from her husband (or his wife (or his or her spouse)).
2 acknowledged to me that she (or he)
(
a) is aware of the nature of the disposition (or agreement),
(
b) is aware that the Dower Act gives her (or him) a life estate in
the homestead and the right to prevent disposition of the
homestead by withholding consent,
(
c) consents to the disposition (or agreement) for the purpose of
giving up the life estate and other dower rights in the
homestead given to her (or him) by the Dower Act, to the
extent necessary to give effect to the said disposition (or
agreement),
(
d) is executing the document freely and voluntarily without any
compulsion on the part of her husband (or his wife (or his or
her spouse)), and
(
e) is executing this document by two-way video conferencing
separate and apart from any other person.
Dated at in the Province of
on (date) .
THIS DOCUMENT WAS ACKNOWLEDGED )
BEFORE ME, , )
a lawyer in and for the Province of Alberta at )
the in the )
of by two-way video conferencing )
with who was at the )
in the Province of Alberta this day of )
, on the basis of evidence )
provided to me that enabled me to verify the ) (Signature)
deponent's identity and confirm the contents )
of the document being executed. )
Form D
Dower Act
(Section 7)
Release of Dower Rights
To the Registrar of Land Titles.
Take notice that I, (name of spouse) , being the wife (or husband or
spouse) of (name of married person) of (address) in the
Province of , who is the registered owner of the
following land, namely:
hereby release to my husband (or wife or spouse) all my life estate and
other dower rights in the above described land and I hereby discharge
my husband (or wife or spouse) ,
his (or her) heirs, executors and administrators from any claim for
dower under the Dower Act in respect of the land.
SIGNED, )
in the presence of ) (Signature)
(Lawyer) )
Form D.1
Dower Act
(Section 7)
Release of Dower Rights
To the Registrar of Land Titles.
Take notice that I, (name of spouse) , being the wife (or husband
or spouse) of (name of married person) of (address)
in the Province of , who is the registered owner of the
following land, namely:
hereby release to my husband (or wife or spouse) all my life estate
and other dower rights in the above described land and I hereby discharge
my husband (or wife or spouse) , his
(or her) heirs, executors and administrators from any claim for dower
under the Dower Act in respect of the land, and
I am executing this document by two-way video conferencing separate and
apart from any other person.
SWORN BEFORE ME, , )
a lawyer in and for the Province of Alberta )
at the in the )
of by two-way video conferencing )
with the deponent who was at the )
in the Province of Alberta this day of )
, on the basis of evidence )
provided to me that enabled me to verify the ) (Signature)
deponent's identity and confirm the contents )
of the document being executed. )
(Lawyer)
Form E
Dower Act
(Section 7)
Affidavit in Support of Dower Release
I, , of in the Province
of , make oath and say:
1 That I am the wife (or husband or spouse) of
of in the Province of .
2 That my husband (or wife or spouse) is the registered owner of the
following land, namely:
3 That I am aware that the Dower Act gives me a life estate and other
dower rights in the land.
4 That I am executing this release for the purpose of giving up my
life estate and other dower rights in the land.
5 That I am executing this release freely and voluntarily without any
compulsion on the part of my husband (or wife or spouse).
SWORN before me at )
in the Province of )
on (date) )
) (Signature)
(Lawyer) )
Form E.1
Dower Act
(Section 7)
Affidavit in Support of Dower Release
I, , of in the Province
of , make oath and say:
1 That I am the wife (or husband or spouse) of
of in the Province of .
2 That my husband (or wife or spouse) is the registered owner of the
following land, namely:
3 That I am aware that the Dower Act gives me a life estate and other
dower rights in the land.
4 That I am executing this release for the purpose of giving up my
life estate and other dower rights in the land.
5 That I am executing this release freely and voluntarily without any
compulsion on the part of my husband (or wife or spouse).
6 That I am executing this document by two-way video conferencing
separate and apart from any other person.
SWORN BEFORE ME, , )
a lawyer in and for the Province of Alberta )
at the in the )
of by two-way video conferencing )
with the deponent who was at the )
in the Province of Alberta this day of )
, on the basis of evidence )
provided to me that enabled me to verify the ) (Signature)
deponent's identity and confirm the contents )
of the document being executed. )
(Lawyer)
Form F
Dower Act
(Section 19)
Election
To the Registrar of Land Titles.
Take notice that I (name of spouse) , being the widow (or
widower) of (name of deceased married person) formerly
of (address) in the Province of , do hereby elect and
claim my life estate under the Dower Act in the land registered in the
name of my deceased husband (or wife or spouse) (or in the name of
the executor or administrator of his (or her) estate) and described as
follows:
SIGNED )
in the presence of ) (Signature)
(name of witness) )
--------------------------------
Alberta Regulation 49/2021
Land Titles Act
FORMS AMENDMENT REGULATION
Filed: February 24, 2021
For information only: Made by the Lieutenant Governor in Council (O.C. 064/2021)
on February 24, 2021 pursuant to
section 213 of the Land Titles Act.
1 The Forms Regulation (AR 480/81) is amended by this
Regulation.
Section 1.1 is repealed.
--------------------------------
Alberta Regulation 50/2021
Personal Property Security Act
PERSONAL PROPERTY SECURITY
FORMS REGULATION
Filed: February 24, 2021
For information only: Made by the Lieutenant Governor in Council (O.C. 065/2021)
on February 24, 2021 pursuant to
section 73 of the Personal Property Security Act.
Forms prescribed
1 The forms in the
Schedule are prescribed for the purposes of the
Personal Property Security Act and the Personal Property Security
Regulation (AR 95/2001).
Repeal
2 The Personal Property Security Forms Regulation (AR 231/2002)
is repealed.
Schedule
Form 1
PPSA Security Agreement,
Sale of Goods Act
section 26(2)
or Factors Act
section 9(2)
Financing Statement
Type of Registration (Select one only)
[] PPSA Security Agreement
1. What is the term of
Registration?
[] (1-25 years) or
[] Infinity
2. Does it cover Trust
Indenture?
Yes No
[] Sale of Goods Act
s.26(2) or Factors Act
s.9(2)
1. What is the term of
Registration?
[] (1-25 years) or
[] Infinity
Debtor
Select one [] Business [] Individual
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Debtor
Select one [] Business [] Individual
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Secured Party
Select one [] Business [] Individual
(Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Collateral - Serial Number Goods
(If PPSA, applicable only to consumer goods or equipment)
1 (Serial Number) (YYYY) (Make and Model) (Category)
2 (Serial Number) (YYYY) (Make and Model) (Category)
General Collateral
(Your Reference No.)
(Name of Person Authorized (Phone (Call Box
(Authorized Signature) to Complete this Form (PRINT)) No.) No.)
Form 2
Writ of Seizure and Sale
(Federal Writ)
Civil Enforcement Act
Financing Statement
(Court Location) (Writ File Number)
This Writ authorizes enforcement proceedings in accordance with the Civil
Enforcement Act. The particulars of the Writ are as follows:
Debtor
Select one [] Business [] Individual (Occupation)
(Business Name or Last Name) (First Name) (Middle Name)
Gender [] M [] F (birthdate if known (dd/mm/yy))
(Street Address) (City) (Province) (Postal Code)
Creditor/Agent
Select one [] Business [] Individual
Personal Property Registry
(P.P.R.) Party Code (Name in Full)
(Street Address) (City) (Province) (Postal Code)
(Telephone Number) (Fax Number) (Call Box Number) (Reference Number)
[] Additional Debtors and Creditors and/or other information listed on
attached addendum.
[] If claiming priority based on an Attachment Order, indicate previous
P.P.R. Registration Number.
Date of Judgment (or date Judgment effective, if different)
(day) day of (month) , (year) .
Original Judgment $
Post Judgment Interest $
Costs $
Current Amount Owing $
To Register Against Serial Number Goods at Personal Property
Registry, Complete the Following:
Serial Number (Only applicable
to serial number goods,
e.g. motor vehicles) (YYYY) Make and Model Category
(Name of Person Authorized
(Authorized Signature) to Complete this Form (PRINT))
Form 3
Writ of Seizure and Sale
(Federal Writ)
Civil Enforcement Act
Financing Statement
Addendum
Debtor
Select one [] Business [] Individual (Occupation)
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
(Debtor's Block Number (if adding alias))
Debtor
Select one [] Business [] Individual (Occupation)
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
(Debtor's Block Number (if adding alias))
Collateral - Serial Number Goods
Serial Number (YYYY) Make and Model Category
Additional Information
Form 4
Receiver's Report,
Orders or Charges
Financing Statement
Type of Registration (Select one only)
[] Receiver's Report
[] Court Order - Court Location (Court File Number) (Date Order Granted)
[] Family Property Order
[] Statutory Charge - Amount
[] Crown Charge
[] Land Charge
Debtor
Select one [] Business [] Individual
If Court Order, indicate
Occupation Gender [] M [] F
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Secured Party
Select one [] Business [] Individual
(Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Solicitor/Agent (If Court Order or Receiver's Report)
Personal Property Registry
(P.P.R.) Party Code (Name in Full)
(Street Address) (City) (Province) (Postal Code)
(Telephone Number) (Fax Number) (Call Box Number) (Reference Number)
Collateral - Serial Number Goods
Serial Number (YYYY) Make and Model Category
General Collateral
(If Court Order, Family Property Order, Statutory Charge or Crown Charge)
(Your Reference No.)
(Name of Person Authorized (Phone (Call Box
(Authorized Signature) to Complete this Form (PRINT)) No.) No.)
Form 5
Debtor/Secured Party or
Solicitor/Agent Additions
Debtor
Select one [] Business [] Individual
If Court Order, indicate
Occupation Gender [] M [] F
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Debtor
Select one [] Business [] Individual
If Court Order, indicate
Occupation Gender [] M [] F
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Debtor
Select one [] Business [] Individual
If Court Order, indicate
Occupation Gender [] M [] F
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Secured Party
Select one [] Business [] Individual
(Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Secured Party
Select one [] Business [] Individual
(Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Solicitor/Agent (If Court Order or Receiver's Report)
Personal Property Registry
(P.P.R.) Party Code (Name in Full)
(Street Address) (City) (Province) (Postal Code)
(Telephone Number) (Fax Number) (Call Box Number) (Reference Number)
Form 6
Serial Number Goods Additions
Collateral - Serial Number Goods
(If PPSA, applicable only to consumer goods or equipment)
Serial Number (YYYY) Make and Model Category
Form 7
General Collateral Additions
General Collateral - Description
Form 8
Additions and Deletions -
Court Order, Other Changes
and Additional Information
Deletions
Select type of particulars:
[] Court Order
Particulars:
[] Other Changes
Particulars:
[] Additional Information
Particulars:
Block Number / Description
Additions
Select type of particulars:
[] Court Order
Particulars:
[] Other Changes
Particulars:
[] Additional Information
Particulars:
Block Number / Description
Form 9
Financing Change Statement
Identification of Registration or Amendments
(Latest Registration No.)
Current Debtor
(Business Name or Last Name) (First Name) (Middle Name)
Current Secured Party
(Business Name or Last Name) (First Name) (Middle Name)
Place an (
X) in the appropriate space
[] Renewal - For PPSA, Sale of Goods Act and Factors
Act, please give the following:
(1-25 years), or
Infinity
[] Change - Deletions/Additions
[] Total Discharge - permanently remove ALL record of
registration(
s) Deletions
Debtor
(Block No.) (Business Name or Last Name) (First Name) (Middle Name)
Secured Party
(Block No.) (Business Name or Last Name) (First Name) (Middle Name)
Collateral - Serial Number Goods
(Block No.) (Serial Number) (YYYY) (Make and Model) (Category)
NOTE: To DELETE other collateral, complete and attach:
Form 11 - Collateral Deletions.
Additions
Debtor
Select one [] Business [] Individual
If Court Order, indicate
Occupation Gender [] M [] F
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Secured Party
Select one [] Business [] Individual
(Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Collateral - Serial Number Goods
(If PPSA, applicable only to consumer goods or equipment)
(Serial Number) (YYYY) (Make and Model) (Category)
NOTE: To ADD other collateral, complete and attach:
Form 6 - Serial Number Goods Additions, and/or
Form 7 - General Collateral Additions.
(Your Reference No.)
(Name of Person Authorized (Phone (Call Box
(Authorized Signature) to Complete this Form (PRINT)) No.) No.)
Form 10
Debtor/Secured Party or
Solicitor/Agent Deletions
Debtor
Select one [] Business [] Individual
If Court Order, indicate
Occupation Gender [] M [] F
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Debtor
Select one [] Business [] Individual
If Court Order, indicate
Occupation Gender [] M [] F
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Debtor
Select one [] Business [] Individual
If Court Order, indicate
Occupation Gender [] M [] F
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Secured Party
Select one [] Business [] Individual
(Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Secured Party
Select one [] Business [] Individual
(Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Solicitor/Agent (If Court Order or Receiver's Report)
Personal Property Registry
(P.P.R.) Party Code (Name in Full)
(Street Address) (City) (Province) (Postal Code)
(Telephone Number) (Fax Number) (Call Box Number) (Reference Number)
Form 11
Collateral Deletions
Serial Number Goods
Block No. Serial Number (YYYY) Make and Model Category
General Collateral
Block No. Description
Form 12
Garage Keepers' Lien
Financing Statement
Registration Details
NOTE: In these questions, the words "you" and "your"
refer to the person claiming the lien.
1. Did you repair or store the vehicle? No Yes
If yes, complete the following:
a. Do you still have possession of the vehicle? No Yes
If yes, proceed to question 3.
b. If repaired or stored on your premises, when
did you release it? (dd/mm/yy)
c. If repaired off your premises, when did you finish the
repairs? (dd/mm/yy)
2. Did you provide accessories or parts for the vehicle? No Yes
If yes, when were they provided? (dd/mm/yy)
3. How much is the lien (in dollars and cents)? $
Vehicle Owner(
s) Owner 1 Select one Business Individual
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Owner 2 Select one Business Individual
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Person Claiming Lien
Select one Business Individual
(Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Describe Motor Vehicle, Farm Vehicle, Aircraft or Boat
(Serial Number) (YYYY) (Make and Model) (Category)
(Your Reference No.)
(Name of Person Authorized (Phone (Call Box
(Authorized Signature) to Complete this Form (PRINT)) No.) No.)
Form 13
Garage Keepers' Lien
Financing Change Statement
Identification of Registration or Amendments
(Latest Registration No.)
Current Vehicle Owner
(Business Name or Last Name) (First Name) (Middle Name)
Current Person Claiming Lien
(Business Name or Last Name) (First Name) (Middle Name)
Changes to be Made
Place an (
X) in the appropriate space
Total Discharge (If selected, ALL record of registration(
s) will be
permanently removed.)
Court Order Renewal, and/or
Amendment
a. What is the date of the Court Order? (dd/mm/yy)
b. In which Judicial District was the Order made?
c. What is the Court File Number?
d. If the court has extended time for seizure,
enter the new date: (dd/mm/yy)
e. If Amendment is selected, you must attach additional forms as
required.
(Your Reference No.)
(Name of Person Authorized (Phone (Call Box
(Authorized Signature) to Complete this Form (PRINT)) No.) No.)
Form 14
Global Financing
Change Statement
Current Secured Party/Solicitor/Agent/Civil Enforcement
Agent Information
(Current
Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Distribution Method [] Mail [] Print [] Call Box [] Fax [] Email
(Call Box Number) (Fax Number) (Email Address)
Complete Either A or B Below:
A. Change of Name or Address for:
Select one [] Current Secured Party
[] Current Solicitor/Agent
[] Current Civil Enforcement Agent
New Name or Address
Select one [] Business [] Individual
(New Business Name or Last Name) (First Name) (Middle Name)
(New Street Address) (City) (Province) (Postal Code)
B. Change of Party Code for:
Select one [] Secured Party
[] Solicitor/Agent
[] Civil Enforcement Agent
New Party Code
Select one [] Business [] Individual
(New Business Name or Last Name) (First Name) (Middle Name)
(New Street Address) (City) (Province) (Postal Code)
Transmitting Party
Select one [] Business [] Individual
(Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
(Your Reference No.)
(Name of Person Authorized (Phone (Call Box
(Authorized Signature) to Complete this Form (PRINT)) No.) No.)
Form 15
Search Request for
Expired/Discharged
Registration Number(
s) Person Requesting Search
(Secured
Party Code) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Payment Type [] Cash [] Cheque [] Account
Distribution Method [] Mail [] Print [] Call Box [] Fax [] Email
(Call Box Number) (Fax Number) (Email Address)
Registration Number(s)
(Your Reference No.)
(Name of Person Authorized (Phone (Call Box
(Authorized Signature) to Complete this Form (PRINT)) No.) No.)
Form 16
Search Request for Debtor
Name(s), Serial Number(
s) and/or Registration Number(
s) Person Requesting Search
(Secured
Party Code)
(if applicable) (Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Payment Type [] Cash [] Cheque [] Account
Distribution Method [] Mail [] Print [] Call Box [] Fax [] Email
(Call Box Number) (Fax Number) (Email Address)
Debtor Name(
s) Search
Select one [] Business [] Individual
Birthdate
(if known)
1 (Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
Select one [] Business [] Individual
Birthdate
(if known)
2 (Business Name or Last Name) (First Name) (Middle Name) (dd/mm/yy)
Serial Number(
s) Search
1 (Serial Number) (YYYY) (Make and Model) (Category)
2 (Serial Number) (YYYY) (Make and Model) (Category)
Registration Number(
s) Search
(Your Reference No.)
(Name of Person Authorized (Phone (Call Box
(Authorized Signature) to Complete this Form (PRINT)) No.) No.)
Form 17
Demand to Secured Party
Personal Property Security Act
Section 50
To: (Name of Secured Party)
1. A Financing Statement was registered in your favour and assigned
registration number (Registration No.) on the (day) day
of (month) , (year) at the Personal Property Registry.
2. I am named as the debtor in the Financing Statement.
I have an interest in property that falls under the collateral
description in the Financing Statement
(Describe interest)
3. Pursuant to
section 50 of the Personal Property Security Act, you
are hereby required, not later than 40 days after this demand is
given,
(
a) to register a Financing Change Statement for the purpose
(Describe type of change demanded (i.e. discharge or
amendment of collateral description))
(
b) to provide to the Registrar an Order of the Court
confirming that the registration need not be amended or
discharged.
4. If this demand is not complied with, I intend to submit a Financing
Change Statement for the registration pursuant to
section 50(5) of
the Personal Property Security Act.
Dated this (day) day of (month) , (year) .
Person Giving Demand: (Please PRINT)
(Signature)
Form 18
Proof of Demand to
Secured Party
Personal Property Security Act
Section 50
Statutory Declaration
of (Address) in the Province of , (Postal Code) ,
DO SOLEMNLY DECLARE THAT:
1. A Financing Statement was registered in the Personal Property
Registry and assigned registration number (registration no.) on
the (day) day of (month) , (year) .
2. I am named as the debtor in the Financing Statement.
I have an interest in property that falls under the collateral
description in the Financing Statement
(Describe interest)
3. Attached to this declaration and marked as Exhibit A is a copy of
the Demand to Secured Party that was given to (Name of
Secured Party) .
4. Service of Exhibit A was effected on the secured party
on (day) day of (month) , (year) , by (Type of
delivery method) , as evidenced by the proof of service attached
to this declaration and marked as Exhibit B. (Attach post office
receipt or affidavit verifying service in some other authorized
manner.)
5. The prescribed 40-day period for registering a Financing Change
Statement or providing an Order of the Court to the Registrar has
expired.
6. I have the authority to submit for registration a Financing Change
Statement pursuant to
section 50 of the Personal Property Security
Act.
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.
Declared before me )
at the of )
in the province of ) (Signature)
on (day) day of (month) , (year) . )
Form 19
Notice of Security Interest
(Fixtures or Crops)
Personal Property Security Act
Section 49(2)
TAKE NOTICE that a security interest has been created in collateral that
is or may become a fixture or crop on land and that the particulars of the
security interest are set out as follows:
Debtor
(Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Legal description of land on which the collateral is or will be
located or affixed and LINC if known
Secured Party
(Business Name or Last Name) (First Name) (Middle Name)
(Street Address) (City) (Province) (Postal Code)
Amount Secured
Description of Collateral
AND that this notice will expire
the (day) of (month) , (year) .
Dated this (day) day of (month) , (year) at Alberta.
(signature) (Name - Please PRINT)
Secured Party or Agent Secured Party or Agent
Form 20
Change Notice
(Fixtures or Crops)
Personal Property Security Act
Section 49(4)
TAKE NOTICE that the security interest in respect of which
(
a) is the secured party,
and
(
b) a notice was registered in the Land Titles Office as instrument
number against the land described as follows:
(Give legal description and LINC if known) has
been:
Mark "X" beside
the appropriate
statement and
complete
particulars
renewed until (day) of (month) , (year) .
transferred to (name and address of transferee).
postponed to the interest under instrument/caveat
number being (describe nature of
interest) in favour of .
amended by: (describe nature of change) .
partially discharged as to the land described as
follows:
wholly discharged.
Dated this (day) day of (month) , (year) .
Signed by in the presence of (witness)
(Signature of Secured Party or Agent)
Form 21
Affidavit Verifying Notice
Personal Property Security Regulation
Section 66(1)
I, of in the Province
of , (postal code) , make oath (affirm) and say:
1. That I have been authorized by the secured party to act as an agent
for the purpose of effecting registration of notices relating to a
security interest in a fixture or crop on the land described in the
attached notice.
2. That I have full knowledge of the facts set out in the attached notice
and the statement of facts is true.
Sworn (affirmed) before me, , )
this (day) day of (month) , (year) ) (Signature of agent)
at , Alberta. )
Form 22
Affidavit Verifying Notice (Video Conferencing)
Personal Property Security Regulation
Section 66(1)
I, of
in the Province of , (postal code) , make
oath (affirm) and say:
1. That I have been authorized by the secured party to act as an agent
for the purpose of effecting registration of notices relating to a
security interest in a fixture or crop on the land described in the
attached notice.
2. That I have full knowledge of the facts set out in the attached notice
and the statement of facts is true.
3. That I am executing this document by two-way video conferencing
separate and apart from any other person.
Sworn (affirmed) before me, , )
a lawyer in and for the Province of Alberta )
at the in the )
of by two-way video conferencing )
with the deponent who was at the )
in the Province of Alberta this day of )
, on the basis of evidence )
provided to me that enabled me to verify the ) (Agent)
deponent's identity and confirm the contents )
of the document being executed. )
(Lawyer)
Form 23
Demand to Secured Party
(Fixtures or Crops)
Personal Property Security Act
Section 49
To: (Name of Secured Party)
1. A Notice of Security Interest was registered in your favour and
assigned as instrument number (Instrument No.) on
the (day) day of (month) , (year) at the Land Titles
Office at against the land described as
follows:
(Give legal description and LINC if known)
2. I am named as the debtor in the Notice of Security Interest.
I have an interest in the land as follows:
(Describe nature of interest)
pursuant to instrument/caveat no. .
3. Pursuant to
section 49 of the Personal Property Security Act, you
are hereby required, not later than 40 days after this demand is
given, to submit for registration
(
a) a Change Notice for the purpose of
(Describe type of change demanded (i.e. discharge or
amendment of collateral description))
(
b) an Order of the Court confirming that the registration need
not be amended or discharged.
4. If this demand is not complied with, I intend to submit a Change
Notice for registration pursuant to
section 49(9) of the Personal
Property Security Act.
Dated this (day) day of (month) , (year) .
Person Giving Demand: (Please PRINT)
(Signature)
Form 24
Proof of Demand to Secured
Party (Fixtures or Crops)
Personal Property Security Act
Section 49
Statutory Declaration
I, of
(Address) in the Province of , (postal code) ,
DO SOLEMNLY DECLARE THAT:
1. A Notice of Security Interest was registered in the Land Titles
Office as instrument number against the following land:
(Give legal description and LINC if known)
2. I am named as the debtor in the Notice of Security Interest.
I have an interest in the land as follows:
(Describe nature of interest)
pursuant to instrument/caveat no. .
3. Attached to this declaration and marked as Exhibit A is a copy of
the Demand to Secured Party that was given to (Name of
Secured Party) .
4. Service of Exhibit A was effected on the secured party
on (day) day of (month) , (year) by (Type of delivery
method) , as evidenced by the proof of service attached to this
declaration and marked as Exhibit B. (Attach post office receipt or
affidavit verifying service in some other authorized manner.)
5. The prescribed 40-day period for submitting a Change Notice or
Order of the Court for registration has expired.
6. I have the authority to submit for registration a Change Notice
pursuant to
section 49 of the Personal Property Security Act.
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.
Declared before me )
at the of )
in the province of ) (Signature)
on (day) day of (month) , (year) . )
Form 25
Proof of Demand to Secured
Party (Fixtures or Crops) (Video Conferencing)
Personal Property Security Act
Section 49
Statutory Declaration
I, of
(Address) in the Province of , (postal code) ,
DO SOLEMNLY DECLARE THAT:
1. A Notice of Security Interest was registered in the Land Titles Office
as instrument number against the following land:
(Give legal description and LINC if known)
2. I am named as the debtor in the Notice of Security Interest.
I have an interest in the land as follows:
(Describe nature of interest)
pursuant to instrument/caveat no. .
3. Attached to this declaration and marked as Exhibit A is a
copy of the Demand to Secured Party which was given to
(Name of Secured Party) .
4. Service of Exhibit A was effected on the secured party on the
(day) day of (month) , (year) by
(Type of delivery method) , as evidenced by the proof of
service attached to this declaration and marked as Exhibit B. (Attach
post office receipt or affidavit verifying service in some other
authorized manner.)
5. The prescribed 40-day period for submitting a Change Notice or
Order of the Court for registration has expired.
6. I have the authority to submit for registration a Change Notice
pursuant to
section 49 of the Personal Property Security Act.
7. I am executing this document by two-way video conferencing
separate and apart from any other person.
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.
Declared before me, , )
a lawyer in and for the Province of Alberta )
at the in the )
of by two-way video conferencing )
with the deponent who was at the )
in the Province of Alberta this day of )
, on the basis of evidence )
provided to me that enabled me to verify the ) (Deponent)
deponent's identity and confirm the contents )
of the document being executed. )
(Lawyer)
Form 26
Filed
Writ of Enforcement
Financing Statement
Civil Enforcement Act
Type of Judgment
(Court Location) (Court File No.) Crown
Employment Standards
Other
This Writ authorizes enforcement proceedings in accordance with the
Civil Enforcement Act. The particulars of the Writ are as follows:
Debtor
Select one Business Individual
(Occupation)
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (Gender
M/F) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Creditor
Select one Business Individual
(Personal
Property Registry
(P.P.R.) Party Code) (Business Name or Last Name) (First Name) (Middle
Name)
(Street Address) (City) (Province) (Postal Code)
Additional Debtors and Creditors and/or other information listed on
attached addendum.
If claiming priority based on an Attachment Order or partial
Assignment, indicate previous P.P.R. Registration Number.
Date of Judgment (or date Judgment effective, if different)
(day) day of (month) , (year) .
This Writ is issued for the amount of the judgment plus costs and interest.
Original Judgment $
Post Judgment Interest $
Costs $ Issued this (day) day of
(month) , (year) .
Current Amount Owing $ (Clerk of the Court)
Solicitor/Agent
(P.P.R. Party Code) (Name in Full)
(Street Address) (City) (Province) (Postal Code)
(Telephone No.) (Fax No.) (Call Box) (Your Reference No.)
To Register Against Serial Number Goods at Personal Property
Registry, Complete the Following:
Serial Number (Only applicable
to serial number goods,
e.g. motor vehicles) (YYYY) Make and Model Category
(Name of Person Authorized
(Authorized Signature) to Complete this Form (PRINT))
Form 27
Writ of Enforcement Addendum
Financing Statement
Civil Enforcement Act
(Court File No.)
Debtor
Select one Business Individual
(Occupation)
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (Gender
M/F) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Debtor
Select one Business Individual
(Occupation)
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (Gender
M/F) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
(Debtor's Block No. (if adding alias))
Creditor
Select one Business Individual
(Personal
Property Registry
(P.P.R.) Party Code) (Business Name or Last Name) (First Name) (Middle
Name)
(Street Address) (City) (Province) (Postal Code)
Creditor
Select one Business Individual
(P.P.R. Party Code) (Business Name or Last Name) (First Name) (Middle
Name)
(Street Address) (City) (Province) (Postal Code)
Additional Information
Form 28
Status Report
Financing Change Statement
Civil Enforcement Act
(Latest P.P.R. Registration No.)
Identification of Registration or Amendments
Current Debtor
(Business Name or Last Name) (First Name) (Middle Name)
Current Creditor
(Business Name or Last Name) (First Name) (Middle Name)
Type of Registration: Renewal Change Change in Amount
Current Amount Owing Costs Post Judgment Interest
$ $ $
Deletions
Debtor
Select one Business Individual
Birthdate
(if known)
(Block No.) (Business Name or Last Name) (First Name) (Middle Name) (Gender
M/F) (dd/mm/yy)
Creditor
Select one Business Individual
(Block No.) (Business Name or Last Name) (First Name) (Middle Name)
Serial Number Goods
(Block No.) (Serial Number) (YYYY) (Make and Model) (Category)
Additions (if adding as alias, indicate Debtor's Block No.)
Debtor
Select one Business Individual
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (Gender
M/F) (dd/mm/yy)
(Debtor's Block No.)
(Occupation) (if adding alias)
(Street Address) (City) (Province) (Postal Code)
Creditor
Select one Business Individual
(Personal
Property Registry
(P.P.R.) Party Code) (Business Name or Last Name) (First Name) (Middle
Name)
(Street Address) (City) (Province) (Postal Code)
Serial Number Goods
(Serial Number) (YYYY) (Make and Model) (Category)
Total Discharge (This will permanently remove all record of
registration(s).)
Deletion and Additional Debtors, Creditors and/or other
information listed on attached addendum.
Deletion and Addition to Solicitor/Agent listed on attached
addendum.
(Name of Person Authorized
(Authorized Signature) to Complete this Form (PRINT))
Form 29
Status Report Addendum
Financing Change Statement
Civil Enforcement Act
Deletions
Debtor
Select one Business Individual
(Block No.) (Business Name or Last Name) (First Name) (Middle Name)
Creditor
Select one Business Individual
(Block No.) (Business Name or Last Name) (First Name) (Middle Name)
Serial Number Goods
(Block No.) (Serial Number) (YYYY) (Make and Model) (Category)
Solicitor/Agent
(Name in Full)
Additions (if adding alias, indicate Debtor's Block No.)
Debtor
Select one Business Individual
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (Gender
M/F) (dd/mm/yy)
(Debtor's Block No.)
(Occupation) (if adding alias)
(Street Address) (City) (Province) (Postal Code)
Creditor
Select one Business Individual
(Personal
Property Registry
(P.P.R.) Party Code) (Business Name or Last Name) (First Name) (Middle
Name)
(Street Address) (City) (Province) (Postal Code)
Serial Number Goods
(Serial Number) (YYYY) (Make and Model) (Category)
New Solicitor/Agent
(P.P.R. Party Code) (Name in Full)
(Street Address) (City) (Province) (Postal Code)
ADDITIONAL INFORMATION
(Name of Person Authorized
(Authorized Signature) to Complete this Form (PRINT))
Form 30
Attachment Order
Financing Statement
(Court Location) Court File No.
This Form authorizes enforcement proceedings in accordance with the
Civil Enforcement Act. The particulars of the Attachment Order are as
follows:
Defendant
Select one Business Individual
(Occupation)
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (Gender
M/F) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Plaintiff
Select one Business Individual
(Personal
Property Registry
(P.P.R.) Party Code) (Business Name or Last Name) (First Name) (Middle
Name)
(Street Address) (City) (Province) (Postal Code)
Additional Defendants and Date Attachment Order Granted
Plaintiffs and/or other or date effective (if different)
information listed on attached (dd/mm/yyyy)
addendum. Amount of Attachment Order
Solicitor/Agent
(P.P.R. Party Code) (Name in Full)
(Street Address) (City) (Province) (Postal Code)
(Telephone No.) (Fax No.) (Call Box No.) (Reference No.)
To Register Against Serial Number Goods at Personal Property
Registry (as described in Attachment Order)
Serial Number (YYYY) Make and Mode Category
(only applicable to serial number
goods, e.g. motor vehicles)
To Register Against Other Personal Property (as described in
the Attachment Order)
(Name of Person Authorized
(Authorized Signature) to Complete this Form (PRINT))
Form 31
Attachment Order Addendum
Financing Statement
(Court File No.)
Defendant
Select one Business Individual
(Occupation)
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (Gender
M/F) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
(Defendant's Block No. (if adding alias))
Defendant
Select one Business Individual
(Occupation)
Birthdate
(if known)
(Business Name or Last Name) (First Name) (Middle Name) (Gender
M/F) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
(Defendant's Block No. (if adding alias))
Plaintiff
Select one Business Individual
(Personal
Property Registry
(P.P.R.) Party Code) (Business Name or Last Name) (First Name) (Middle
Name)
(Street Address) (City) (Province) (Postal Code)
Plaintiff
Select one Business Individual
(P.P.R. Party Code) (Business Name or Last Name) (First Name) (Middle
Name)
(Street Address) (City) (Province) (Postal Code)
Additional Information
Form 32
Maintenance Order
Financing Statement
(Court Location) Court File No.
Debtor
Individual (Occupation)
Birthdate
(if known)
(Last Name ) (First Name) (Middle Name) (Gender
M/F) (dd/mm/yy)
(Street Address) (City) (Province) (Postal Code)
Creditor
Individual
(Last Name) (First Name) (Middle Name)
Date of Order Current Amount
(or date order effective, if different) Owing
(dd/mm/yy) $
Additional Information
Caution: If your personal address and telephone number are
confidential, you are required to provide an address
where notices and proceed entitlements can be sent to
you.
Creditor/Solicitor/Agent
(Personal
Property Registry
(P.P.R.) Party Code) (Name in Full)
(Street Address) (City) (Province) (Postal Code)
(Telephone No.) (Fax No.) (Call Box No.) (Reference No.)
To Register Against Serial Number Goods at Personal Property
Registry, Complete the Following:
Serial Number (YYYY) Make and Mode Category
(only applicable to serial number
goods, e.g. motor vehicles)
(Name of Person Authorized
(Authorized Signature) to Complete this Form (PRINT))
Form 33
Civil Enforcement Agency File Number
Warrant
Garage Keepers' Lien Act
TO: (Name and address of Civil Enforcement Agency)
You are hereby instructed to seize the following vehicle:
Make Model
Serial number License number
the property of (Name and Address of Owner)
now in the possession of (Name and address of party in possession) .
This vehicle is subject to a garage keeper's lien registered in the Personal
Property Registry on the (day) day of (month) , (year) as
Registration Number . Seizure is instructed to realize the sum of
$ plus costs claimed by (Name of Creditor) for (indicate with an
X the reason for the claim):
storage of motor vehicle or farm vehicle or a part of a motor vehicle
or a farm vehicle
repair of a motor vehicle or farm vehicle or a part of a motor vehicle
or farm vehicle
maintenance of a motor vehicle or farm vehicle or a part of a motor
vehicle or a farm vehicle
price of accessories or parts furnished for a motor vehicle or farm
vehicle or a part of a motor vehicle or a farm vehicle
possession of the motor vehicle or farm vehicle was surrendered to
the owner or the owner's agent on
repairs were completed to the motor vehicle, farm vehicle or part of
a motor vehicle or farm vehicle where the vehicle was not at the
time of repair in the possession of the garage keeper on
accessories or parts were furnished to the motor vehicle or farm
vehicle on
Dated this (day) day of (month) , (year) at (city) , Alberta.
(Signature of Instructing Garage Keeper or
Authorized Agent)
(Print Name of Instructing Garage Keeper or Authorized Agent)
(Address of Instructing Garage Keeper or Authorized Agent)
(City) , (Province) (Postal Code)
(Telephone Number) (Fax number)