FORM 8B
“GLOBAL LEASE PERMIT REPORT”
STATEMENT FOR REPORTING LAND LEASED IN PURSUANT TO SUBSECTION 5.3(2) OF
THE PRINCE EDWARD ISLAND LANDS PROTECTION ACT
Name of Lessee: ________________________________________________________________________________
Address: ________________________________________________Email: _________________________________
Phone: ________________________________________________Global Lease File: LL________________________
Report all land leased in during the past calendar year. List the following information for each parcel:
LEASED LAND
(1) (2) (3) (4) (5) (6)
PARCEL
NUMBER
LOCATION LEASED FROM
LEASE
START
DATE
M/D/Y
LEASE
EXPIRY
DATE
M/D/Y
ACREAGE
ARABLE
NON-
ARABLE
SUBTOTAL
TOTAL
Sign the appropriate declaration below:
Declaration - Corporation
I hereby certify that the information herein, and
attached hereto, is true and correct in all respects
for the reporting calendar year ________.
Signature on behalf of the Lessee Corporation*
Date
*This form must be signed by an authorized signing
officer of the Lessee Corporation.
Name of Signatory (Please Print):
Title: _____________________________________________
Declaration – Non-Resident Person
I hereby certify that the information herein, and
attached hereto, is true and correct in all respects for
the reporting calendar year ________.
Signature of Declaring Lessee**
Date
**This form must be signed by the Declaring Lessee.
Name (Please Print):
Information on this Form is collected pursuant to the Lands Protection Act and will be used by the Commission in the administration of the said Act. For
additional information, contact the Commission at (902)892-3501 or by email at info@irac.pe.ca.
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