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LAND TITLE ACT
FORM A (Section 185(1))
FREEHOLD TRANSFER Province of British Columbia PAGE OF PAGES
Your electronic signature is a representation that you are a designate authorized to
certify this document under section 168.4 of the Land Title Act, RSBC 1996 c.250,
that you certify this document under section 168.41(4) of the act, and that an
execution copy, or a true copy of that execution copy, is in your possession.
1. APPLICATION: (Name, address, phone number of applicant, applicant's solicitor or agent)
Deduct LTSA Fees? Yes
2a. PARCEL IDENTIFIER AND LEGAL DESCRIPTION OF LAND:
[PID] [LEGAL DESCRIPTION]
STC? YES
2b. MARKET VALUE: $
3. CONSIDERATION: $
4. TRANSFEROR(S):
5. FREEHOLD ESTATE TRANSFERRED:
6. TRANSFEREE(S): (including occupation(s),
postal address(es) and postal code(s))
7. EXECUTION(S): The transferor(s) accept(s) the above consideration and understand(s) that the instrument operates to transfer the freehold estate
in the land described above to the transferee(s)
Officer Signature(s) Execution Date Transferor(s) Signature(s)
Y M D
OFFICER CERTIFICATION:
Your signature constitutes a representation that you are a solicitor, notary public or other person authorized by the Evidence Act, R.S.B.C. 1996, c.124, to
take affidavits for use in British Columbia and certifies the matters set out in Part 5 of the Land Title Act as they pertain to the execution of this
instrument.
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