319/98

M323/98

September 18, 1998

Mineral Land Tax Act

Certificate of Forfeiture Form Regulation

CERTIFICATE OF FORFEITURE MINERAL LANDS

Resource Revenue Branch Ministry of Energy and Mines PO

Box 9328 Stn Prov Govt Victoria, BC V8W 9N3

Section

13, Mineral Land Tax Act ,

chapter

290, Revised Statutes of British Columbia 1996, as amended, and

section 278,

Land Title Act ,

chapter 250, Revised Statutes of

British Columbia 1996, as amended.

Registered Owner's Name and

Address

Mineral Land Legal Description

Land Title District

Mining Division

Undersurface Charge No.

Area (ha)

Mineral Land Tax Folio No.

Amount Due Taxes ....................................................................................

Interest (calculated to ........................................................ )

Penalties

..............................................................................

Total

...............................................................

$ ____________ $ ____________ $ ____________ $ ____________

Date Notice Appeared in Gazette

Date of Forfeiture

I hereby certify that on ....................................... I gave

notice under s. 13 of the Mineral Land Tax

Act , that unless the delinquent mineral land taxes, interest

and penalties were fully paid within 90 days from the date the notice was published

in the Gazette, the minerals and the right to work, win or carry away the minerals

located in, under or on the mineral land (described above), would be absolutely

forfeited to the Crown in the right of the Province of British Columbia. As the

delinquent mineral land taxes, interest and penalties were not fully paid within the

90 day period, and are still not fully paid, the minerals and the right to work, win

and carry away the minerals located in, under or on the mineral land are absolutely

forfeited to and vested in the Crown in the right of the Province of British

Columbia free and clear of all encumbrances.

.................................................. Administrator, Mineral

Land Tax

Note: this regulation revokes all prior Certificate of Forfeiture

forms

[Provisions of the Mineral Land Tax

Act , R.S.B.C. 1996, c. 290, relevant to the enactment of this

regulation: sections 13 and 22]