Land Titles FORM A Application For Name Search 1) 2) The applicant is: a) entitled to register, or has registered, the following instrument, a copy of which is attached to this application: b) the owner of interests in land, such as: and, in the case of an individual, has attached proof of identity. c) a credit-granting corporation which has obtained written consent to conduct a name search, a copy of which consent is attached to this application. d) other: 3) The applicant requests a name search against: a) an individual with the surname: and given names: b) the corporation: 4) The type of search required is: a) current registered owners b) historical registered owners c) all current document parties d) current document parties with respect to the document type: If no matches are found on a search, the fee is $2.00 and a report will be produced. FOR OFFICE USE ONLY If any matches are found, the fee is $12.00. Signature of person providing search (Date) (Signature of applicant) (Print name of person signing) (Print office held if signing for corporation) This information is being collected for the purposes of Land Titles records in accordance with the Land Titles Act. Questions about the collection of this information can be directed to the Freedom Of Information and Protection Of Privacy Co-ordinator for Alberta Registries. Box 3140, Edmonton, Alberta T5J 2G7, (780) 427-2742. REG 3096 (2005/01)

FORM A Application For Name Search

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Land Titles

FORM A Application For Name Search

1) 2) The applicant is:

a) entitled to register, or has registered, the following instrument, a copy of which is attached to this

application:

b) the owner of interests in land, such as:

and, in the case of an individual, has attached proof of identity.

c) a credit-granting corporation which has obtained written consent to conduct a name search, a copy of which consent is attached to this application.

d) other:

3) The applicant requests a name search against:

a) an individual with the surname:

and given names:

b) the corporation: 4) The type of search required is:

a) current registered owners

b) historical registered owners

c) all current document parties

d) current document parties with respect to the document type: If no matches are found on a search, the fee is $2.00 and a report will be produced. FOR OFFICE USE ONLY

If any matches are found, the fee is $12.00.

Signature of person providing search

(Date) (Signature of applicant) (Print name of person signing) (Print office held if signing for corporation) This information is being collected for the purposes of Land Titles records in accordance with the Land Titles Act. Questions about the collection of this information can be directed to the Freedom Of Information and Protection Of Privacy Co-ordinator for Alberta Registries. Box 3140, Edmonton, Alberta T5J 2G7, (780) 427-2742. REG 3096 (2005/01)