7205 Form - Full Discharge of Caveat Mortgage Debenture

Form 7205 (Rev. 09/08) ALBERTA TREASURY BRANCHES

FULL DISCHARGE OF CAVEAT LAND MORTGAGE DEBENTURE

TO THE REGISTRAR: North Alberta Land Registration District South Alberta Land Registration District

Enter the ALBERTA TREASURY BRANCHES, the , does hereby acknowledge that it has no further interest under the , “Alberta hereinafter called the “Instrument”, made by Treasury Branches” if which Instrument bears the date of , and was registered at LAND Discharge of TITLES OFFICE on , as number . Caveat, otherwise enter Name of That the said Instrument has not been assigned; Mortgagor and the Instrument is discharged.

IN WITNESS whereof Alberta Treasury Branches has caused these presents to be executed by duly authorized representatives this day of , .

Alberta Treasury Branches In the presence of: Per:

Title:

Alberta Treasury Branches In the presence of: Per:

Title:

AFFIDAVIT OF EXECUTION

I of in the Province of Alberta MAKE OATH AND SAY:

1. That I was personally present and did see who is known to me be the person named in the within (or annexed) instrument, duly sign the instrument; or

I was personally present and did see who, on the basis of the identification provided to me, I believe to be the person named in the within (or annexed) instrument, duty sign the instrument; 2. THAT the same was executed at in the Province of Alberta, and that I am the subscribing witness thereto.

3. THAT I know the said person, and [he/she/they] is (are) in my belief, of the full age of eighteen years and holds the position indicated in paragraph 1. above.

SWORN before me at in the Province of Alberta, , ______

______A Commissioner for Oaths in and for the Province of Alberta (Print or Stamp Name Next to Signature)

My Commission Expires Form 7205 (Rev. 09/08) AFFIDAVIT OF EXECUTION

I of in the Province of Alberta MAKE OATH AND SAY:

1. THAT I was personally present and did see authorized representative named in the within instrument, who is personally known to me to be the person named therein, duly sign and execute the same for the purposes named therein.

2. THAT the same was executed at in the Province of Alberta, and that I am the subscribing witness thereto.

3. THAT I know the said person, and [he/she/they] is (are) in my belief, of the full age of eighteen years and holds the position indicated in paragraph 1. above.

SWORN before me at in the Province of Alberta, ______this day of ,

______A Commissioner for Oaths in and for the Province of Alberta (Print or Stamp Name Next to Signature)

My Commission Expires