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1 (Consolidated up to 65/2020) ALBERTA REGULATION 66/2011 Adult Interdependent Relationships Act ADULT INTERDEPENDENT PARTNER AGREEMENT REGULATION Form of agreement 1 An adult interdependent partner agreement under

section 7 of the Act must be in the form set out in the Schedule. Expiry 2 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 June 30, 2030. AR 66/2011 s2;65/2020 Repeal 3 The Adult Interdependent Partner Agreement Regulation (AR 141/2003) is repealed. Coming into force 4 This Regulation comes into force on the coming into force of the Wills and Succession Act.

Schedule Adult Interdependent Partner Agreement BETWEEN: (Name and address of adult interdependent partner) and (Name and address of adu lt interdependent partner) We understand that by entering into this Agreement we will become each other’s adult interdependent partner and will have all the benefits and obligations of adult interdependent partners under Alberta law.

Schedule AR 66/2011 ADULT INTERDEPENDENT PARTNER AGREEMENT REGULATION 2 1 We agree that (

a) each of us is 16 years of age or older, (

b) neither of us is a party to an ongoing marriage or adult interdependent partner agreement, and (

c) we are living or intend to live together in a relationship of interdependence. 2 We understand that this Agreement will expire if we become former adult interdependent partners pursuant to the Adult Interdependent Relationships Act.

In witness whereof we have executed this Agreement in the (city, town, county) of (province, state, country) this day of , 20 . Witness (Print Name and Address) Adult Interdependent Partner Witness (Print Name and Address) Witness (Print Name and Address) Adult Interdependent Partner Witness (Print Name and Address) Guardians’ signatures (if applicable): Date: Date: Guardian Guardian (Print name) (Print name) NOTES: 1. Each adult interdependent partner’s signature must be witnessed by 2 witnesses. 2. If either adult interdepende nt partner is under the age of 18 years, the guardians of that person must sign above

Schedule AR 66/2011 ADULT INTERDEPENDENT PARTNER AGREEMENT REGULATION 3 indicating their consent to the person entering into the Adult Interdependent Partner Agreement. 3. A person who is under the age of 18 years may not enter into an Adult Interdependent Partner Agreement if the person is related to the other party by blood or adoption. 4. An Adult Interdependent Partner Agreement may be part of or attached to another agreement between the parties. 5.

If an Adult Interdependent Partner Agreement is part of or attached to another agreement between the parties that contains one or more provisions relating to the property of one or both of the parties, the parties are advised to seek legal advice as to their rights and obligations in respect of that property.

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