Fillable Transmission of an Interest to a Personal Representative (BC Land Title & Survey)

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Transmission of an Interest to a Personal Representative (BC Land Title & Survey)

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For more information, contact the Customer Service Centre at 604-630-9630 in the Greater Vancouver area or
1-877-577-LTSA (5872) toll free elsewhere in BC, or visit www.ltsa.ca.
Instructions:
Please type or print clearly in dark ink on all forms. Kindly print your
documents on single-side paper only to facilitate departmental processing.
Please mail or courier your application in hard copy format to the New
Westminster office. Fax or email applications will not be accepted.
1. Provide a court-certified copy of the Grant of Probate or Grant of
Administration as issued by the Court Registry, Province of BC.
a. You may be required to prove the deceased’s identity by
providing a statutory declaration accompanied by a copy of the
Wills search If the deceased’s name shown in the Grant is not
exactly the same as shown on title.
2. Provide a court-certified copy of the Disclosure Statement setting out
the land and or charge owned by the deceased, obtained from the
Court Registry Office.
3. Complete a Form 17 for each lot or charge being transmitted.
4. Provide the existing Duplicate Indefeasible Title Certificate, if not on
file with the Land Title Office.
5. Complete the Property Transfer Tax Return. For assistance with this
form, contact the Ministry of Finance, Property Transfer Tax Section, at
250-387-0555 or toll free at 1-888-355-2700.
6. Complete the Transparency Declaration for the Land Owner
Transparency Registry.
This is a guide to help you prepare your application.
It is important to be aware that legislation defines the LTSA’s role and limits how we can answer your questions. For example,
our staff is not allowed to provide legal advice or help fill out forms.
Only after you submit your application to the LTSA, can we advise on the correctness and accuracy of your application’s
information.
If you need more help than we can provide, please contact a legal professional.
Transmission of an Interest to
a Personal Representative
You can find the legal description
and parcel identifier on the title and
on your property tax assessment
notice for the land.
For more information, contact the Customer Service Centre at 604-630-9630 in the Greater Vancouver area or
1-877-577-LTSA (5872) toll free elsewhere in BC, or visit www.ltsa.ca.
7. If the transferee is a Reporting Body, a Transparency Report must also
be completed for the Land Owner Transparency Registry. This can be
downloaded from the Land Transparency Website:
https://landtransparency.ca/resources/#forms
8. Confirm if your application qualifies for an Exclusion from the Land
Owner Transparency Registry. In limited circumstances, exclusions to
LOTR may apply. Refer to the Declaration of Exclusion form to confirm if
your application qualifies for an exclusion and, if required, complete the
Declaration of Exclusion form. If the exclusion applies, do not complete
the Transparency Declaration OR Transparency Report forms.
9. If you require confirmation of registration, please complete the
Request for State of Title Certificate.
10. Submit your application by mail to:
Land Title and Survey Authority of British Columbia
Suite 500 – 11 Eighth Street, New Westminster, BC V3M 3N7
Fees
1. Pay the registration fee of $75.22 for each parcel or charge being
transmitted.
2. Pay the filing fee of $5.00 for the Transparency Declaration.
3. If a Transparency Report is required, pay the filing fee of $35.00.
4. If you have requested a State of Title Certificate, pay $15.04 for
each title.
For more information
Email: customerservice@ltsa.ca
Phone: 604-630-9630 from the Greater Vancouver area OR
1-877-577-LTSA (5872) from elsewhere in BC, Canada and the US.
Office hours are 9:00am to 3:00pm
Mail: Land Title and Survey Authority of British Columbia
Suite 500 – 11 Eighth Street, New Westminster, BC V3M 3N7
The Land Owner Transparency Registry
Beginning November 30, 2020, the Land Owner Transparency Act (LOTA) requires that when an application is made to
register an interest in land, as defined in LOTA, in BC’s land title register, a transparency declaration must be filed to the
LOTA Administrator by the transferee(s). A transferee that is a reporting body must also complete and file a transparency
report setting out information about the reporting body and interest holders. We recommend you consult a legal
professional to understand your obligations. More information is available at landtransparency.ca
Please include payment by cheque
or money order in Canadian funds.
To cover LTSA application registration
fees, please make cheque or money
order payable to “LTSA of BC”.
Please only complete the Declaration
of Exclusion form if you are filing an
application to register an interest
in land that is excluded from the
requirements of LOTA. If the interest in
land is not excluded under LOTA, you
must file a transparency declaration
and if also required, a transparency
report. For further information, visit
https://landtransparency.ca
For more information, contact the Customer Service Centre at 604-630-9630 in the Greater Vancouver area or
1-877-577-LTSA (5872) toll free elsewhere in BC, or visit www.ltsa.ca.
Before you submit your application, ensure you have the following:
A court-certified copy of the Grant of Probate or Grant of Administration as issued by the Court
Registry, Province of BC.
• You may be required to prove the deceased’s identity by providing a statutory declaration
accompanied by a copy of the Wills search If the deceased’s name shown in the Grant is
not exactly the same as shown on title.
A court-certified copy of the Disclosure Statement setting out the land and or charge owned by
the deceased, obtained from the Court Registry Office.
Completed Form 17 for each lot or charge being transmitted.
Existing Duplicate Indefeasible Title Certificate, if not on file with the Land Title Office.
Completed Property Transfer Tax Return.
Completed Transparency Declaration.
Completed Transparency Report, if required.
Request for State of Title Certificate form (if you require confirmation of registration) and
payment of $15.04 for each title.
Registration fee of $75.22 for each parcel or charge being transmitted.
Filing fee of $5.00 for the Transparency Declaration.
If a Transparency Report is required, filing fee of $35.00.
Please include a stamped, self-addressed envelope for your certificates and a copy of your
application to be returned, if applicable.
Checklist
For more information, contact the Customer Service Centre at 604-630-9630 in the Greater Vancouver area or
1-877-577-LTSA (5872) toll free elsewhere in BC, or visit www.ltsa.ca.
Registration Process
What happens when you submit your land title documents to the LTSA?
Identification of Documentation
To identify your documents, the cashier will stamp your document
with the date, time and a pending application number.
Unsuccessful Registration
If your application does not meet basic Land
Title Act requirements, a Notice Declining to
Register (Defect Notice) will be mailed to the
address in Item 1 of your application. This
Defect Notice will describe the reason for the
defect and may suggest what is needed to
meet the requirements of the appropriate
Land Title Act or related statutes. An additional
fee of up to $15.04 may be required when you
return your documents to the Land Title Office.
Recourse for Applicants
If you receive a Defect Notice, please
be aware of the stated time limits for
resubmission. If the requirements are
not met within the time indicated, your
application may be cancelled.
Successful Registration
If your document meets the basic
requirements of the Land Title Act and
related statutes, it will be registered and
recorded with the application number
effective on the date and time originally
stamped on your document. If you would
like confirmation of registration, you may
order a State of Title Certificate using the
enclosed form.
Land Title Act
Form 17
(sections 154, 155(1), 241)
Applicant: (full name, address, phone number and signature of applicant, applicant’s solicitor or agent)
................................................................................
Signature of applicant or solicitor or authorized agent
Parcel Identifier(s) and Legal Description(s) of Land:
Market Value: $
(applicable to fee simple applications)
Nature of Interest: Transmission to Personal Representative
Registration Number of Charge, Notation or Filing:
(applicable to modification or cancellation of a registered interest)
Full Name, Address and Occupation of Person(s) Entitled to be Registered Owner:
(not applicable to a cancellation of charge, notation or filing)
NOTE: Before submitting this application, applicants should check and satisfy themselves as to
the tax position, including taxes of the Crown Provincial, a municipality and improvement, water
and irrigation districts.
Land Title and Survey Authority of British Columbia
State of Title Certificate Request Form
This form is for the order of a State of Title Certificate in paper format.
Fee: $15.04 per State of Title Certificate payable to the Land Title and Survey Authority of
British Columbia
State o
f Title Certificate is required for the following lands:
(Insert Parcel Identifier number (PID) and Legal Description here)
Applicant
Name:
Mailing
Address:
OPTIONAL
Relate
d application number:
Agent:
LTO Cl
ient Number:
Property Transfer Tax
Victoria: 250-387-0555
Toll-free: 1-888-355-2700
Submit your completed return with payment (if applicable):
By Mail:
TRANSFEREE 1 INDIVIDUAL OTHER:
Are you claiming an exemption? PERCENTAGE INTEREST ACQUIRED (%)
LAST NAME/CORPORATION NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD) TELEPHONE NUMBER BUSINESS NUMBER EMAIL ADDRESS
Yes
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
No
ADDITIONAL TRANSFEREE INFORMATION FOR NON-CANADIAN CITIZEN OR NON-PERMANENT RESIDENT
Note: If you are claiming a BC Provincial Nominee exemption you must attach a copy of your BC PN Certificate
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR) CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
PREVIOUS MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Enter two income tax returns filed as a BC resident during the six years before the date of registration.
Does the transferee intend to use the property as their principal residence?
Yes No
Yes
No
Yes
No
Yes No
TRANSFEREE 2 INDIVIDUAL OTHER:
Are you claiming an exemption? PERCENTAGE INTEREST ACQUIRED (%)
LAST NAME/CORPORATION NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER BUSINESS NUMBER EMAIL ADDRESS
Yes
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
No
ADDITIONAL TRANSFEREE INFORMATION FOR NON-CANADIAN CITIZEN OR NON-PERMANENT RESIDENT
Note: If you are claiming a BC Provincial Nominee exemption you must attach a copy of your BC PN Certificate
LTSA Land Title Office
Anvil Office Tower
Suite 500-11 Eighth Street
New Westminster, BC V3M 3N7
CORPORATION
MANUAL PROPERTY TRANSFER TAX RETURN
If you are a confirmed BC Provincial Nominee (PN),
provide your BC PN certificate number
BC PN CERTIFICATE NUMBER
Is the transferee holding the property on behalf of a limited partnership? (If YES, complete Schedule 7 - Limited Partnership)
Is the transferee a trustee? (If YES, complete Schedule 4 - Settlor and Beneficiary Information)
On the date of registration, is the individual a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
On the date of registration, is the individual a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
If you are a confirmed BC Provincial Nominee (PN),
provide your BC PN certificate number
PART A - TRANSFEREE INFORMATION (If more than two transferees, add additional form)
CORPORATION
Are you claiming a BC PN Exemption? Yes No
Is the transferee claiming the Canadian-controlled limited partnership exemption?
BC PN CERTIFICATE NUMBER
Did the transferee live in BC for one year prior to the transfer of the property? Yes No (If YES, enter address; if NO enter income tax years)
INDIVIDUAL TAX NUMBER (ITN)
Are you claiming a BC PN Exemption? Yes No
under the Property Transfer Tax Act
INDIVIDUAL TAX NUMBER (ITN)
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MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR) CITY
PROVINCE/STATE
POSTAL/ZIP CODE
COUNTRY
PREVIOUS MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE
POSTAL/ZIP CODE COUNTRY
Enter two income tax returns filed as a BC resident during the six years before the date of registration.
Yes No
Yes
No
Yes
No
Is the transferee a trustee? (If YES, complete Schedule 4 - Settlor and Beneficiary Information)
Yes
No
Attach a Schedule 1 - additional transferee(s) for each additional transferee
PART B - PRIMARY CONTACT NAME AND MAILING ADDRESS
(If the preferred contact information is different than transferee)
LAST NAME
GIVEN NAME(S)
TELEPHONE NUMBER
EMAIL ADDRESS
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
TRANSFEROR 1 INDIVIDUAL OTHER:
LAST NAME/CORPORATION NAME GIVEN NAME(S)
TELEPHONE NUMBER
EMAIL ADDRESS
ADDRESS (Apt. No., Street No./Name, PO Box, RR) CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
TRANSFEROR 2 INDIVIDUAL OTHER:
LAST NAME/CORPORATION NAME GIVEN NAME(S)
TELEPHONE NUMBER
EMAIL ADDRESS
ADDRESS (Apt. No., Street No./Name, PO Box, RR) CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Attach a
Schedule 2 - Additional Transferor(s)
for each additional transferor
As defined under the Income Tax Act, is the transferor a: Resident of Canada Non- Resident of Canada
As defined under the Income Tax Act, is the transferor a: Resident of Canada Non- Resident of Canada
Did you confirm the residency status of the transferor? Yes No
Does the transferee intend to use the property as their principal residence?
Is the transferee holding the property on behalf of a limited partnership? (If YES, complete Schedule 7 - Limited Partnership)
Is the transferee claiming the Canadian-controlled limited partnership exemption?
Did you confirm the residency status of the transferor? Yes No
Did the transferee live in BC for one year prior to the transfer of the property? Yes No (If YES, enter address; if NO enter income tax years)
CORPORATION
PART C - TRANSFEROR INFORMATION (If more than two transferors, add additional form)
CORPORATION
Attach a Schedule 5 - For transfers involving a Corporation
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PROPERTY TYPE
Is this property a pre-sold strata lot?
CIVIC ADDRESS (APT. NO, STREET NO./NAME)
LEGAL DESCRIPTION
MUNICIPALITY
REGIONAL DISTRICT
Attach a
Schedule 3 - Additional Property
for all additional properties
Canadian Sources (enter 0 if not applicable)
Lender Name (if applicable)
Branch Number (if applicable)
GROSS PURCHASE PRICE (TOTAL OF FUNDS, FINANCING AND OTHER)
(if yes complete civic address, PID, municipality and regional district)
CIVIC ADDRESS (APT. NO, STREET NO./NAME)
MUNICIPALITY
Real Property (land and buildings)
If Other, provide a brief description
Chattels
Fixtures
Intangibles (Goodwill, Quotas, etc.)
Other
Was this contract assigned? Yes No
Yes No
PARCEL IDENTIFIER NUMBER(PID)
TRANSFER OF
TRANSACTION TYPE
Note: real property and fixtures are subject to property transfer tax unless provincial sales tax has been paid under the Provincial Sales Tax Act. Property transfer
tax may or may not apply to intangibles (goodwill, quotas, etc.) and other items.
PART E - TERMS (Complete this section for First Time Home Buyers, Newly Built Home, no exemption or anyone claiming the BC PN exemption)
Other Sources (enter 0 if not applicable)
Lease Terms in years (including any renewals)
FUNDS (CASH) (enter 0 if not applicable)
FINANCING (enter 0 if not applicable)
Other consideration Paid or Property Taken in Trade (enter 0 if not applicable)
Gross Purchase Price
PART F - ALLOCATION OF GROSS PURCHASE PRICE (non-residential properties only)
Vacant land
PARCEL IDENTIFIER NUMBER (PID)
Land with Improvements
DATE OF INTERIM AGREEMENT OR CONTRACT (YYYY/MM/DD)DATE TRANSACTION WAS COMPLETED (YYYY/MM/DD)
PART D - DESCRIPTION OF PROPERTY AND TRANSFER
$
REGIONAL DISTRICT
PERCENTAGE OF INTEREST BEING TRANSFERRED (%)
Do the terms of the transfer include property taken in trade? Yes No
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ADVANCE TAX RULING NUMBER (if applicable)
CHARITABLE REGISTRATION NUMBER
What is the relationship between the transferee and transferor?
(for EX 05, 06, 07, 12,18 or Admin)
What is the relationship between the beneficiary and the settlor?
(for EX 12, 41 42, or Admin)
What is the name of the person farming the land?
What is the relationship between that person (farming) and the transferee and transferor?
(for EX 07,18 or Admin)
What is the relationship between the transferee and the deceased? (for EX 07, 40 or Admin)
Who resided on the property immediately prior to the death of the deceased? (for EX 07, 40 or Admin)
Who currently resides on the property? (for EX 05,12, 41, 42 or Admin)
How long have they resided on the property?
Years
Months
How many families will occupy the improvements?
Will it continue to be used as commercial?
Total size of the property
Size of the farm portion of the property
Total Value of All Improvements of the Property
Value of Residential Improvements Only
Total Value of All Land on the Property
Value of Residential Land Only
Total Value of Property
$
Fair Market Value of Entire Property (if different from the Total Value of Property)
$
How much PTT was previously paid?
$
Land Title Registration Number for the previous transfer
Fair Market Value of Entire Property General PTT
Adjusted PTT
General PTT (before exemption)
Adjusted PTT Total PTT Payable
$
Exemption of General PTT Total PTT Previously Paid
Exemption of General PTT (override) PTT Due
$
Is this return a for a previously withdrawn or cancelled transfer? Yes No
PART I - PROPERTY TRANSFER TAX (PTT) CALCULATION
Is there a dwelling on the farm portion of the property? Yes No
Is there more than one improvement on the property? Yes No
PART H - PROPERTY VALUE INFORMATION
Additional Property Transfer Tax
(FMV of residential property x % of ownership
transferred x 20%)
Tax on Residential Property over $3M
(FMV of residential property x % of ownership
transferred x 2%)
Fair Market Value of Property or Interest in
Property Transferring
ATTACH A CHEQUE, BANK DRAFT OR MONEY ORDER FOR THIS AMOUNT, PAYABLE TO THE MINISTER OF FINANCE
PART G - ADDITIONAL INFORMATION
Do the improvements contain a commercial portion? Yes No
JURISDICTION OF AMALGAMATION AND SECTION
ORDER IN COUNCIL NUMBER (if applicable)
Is there a Separation Agreement or Court Order in place? (If YES, attach a copy of the documents at time of filing) Yes No
Journal Voucher Number Will payment be made by journal voucher? Yes No
Additional Property Transfer Tax (override)
FIN 579 2021/ /2
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Transferee 1
Transferee 2
I certify and declare that the information given in this return is complete and correct in all respects. I acknowledge that there are penalties for tax avoidance
or providing false information. These penalties may include double the tax, tax plus interest, a fine and/or up to two years' imprisonment.
TRANSFEREE 2 SIGNATURE DATE SIGNED (YYYY/MM/DD)
1. Have you owned an interest in a principal residence (where you lived) anywhere in the world at any time?
2. Have you ever received the BC first time home buyers' program or refund?
4. Have you continuously resided in BC for at least one year immediately prior to the registration date OR
filed two income tax returns as a BC resident during the six years before the date of registration?
4. Have you continuously resided in BC for at least one year immediately prior to the registration date OR
filed two income tax returns as a BC resident during the six years before the date of registration?
1. Have you owned an interest in a principal residence (where you lived) anywhere in the world at any time?
2. Have you ever received the BC first time home buyers' program or refund?
3. On the date of registration, are you a Canadian citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
3. On the date of registration, are you a Canadian citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
Freedom of Information and Protection of Privacy Act (FOIPPA) - The personal information in this form is collected for the purpose of administering the Property Transfer Tax Act
under the authority of section 26(a) of the FOIPPA. Questions about the collection or use of this information can be directed to the Director, Property Transfer Tax, PO Box 9427 Stn
Prov Govt, Victoria, BC V8W 9V1 (telephone: Victoria at 250-387-0555 or toll free at 1 888 355-2700)
FIRST TIME HOME BUYER'S DECLARATION
DECLARATION – Complete this section only if you are applying for the first time home buyers’ program. Before completing, make sure you read and understand
the qualifications for the exemption and the first year requirements, as explained in the Guide to the First Time Home Buyers’ Program.
Penalty for False Declaration – if you make a false declaration, you will be charged an amount equal to double the tax (the tax you owe plus a penalty equal to
the exemption you claimed).
TRANSFEREE 1 SIGNATURE DATE SIGNED (YYYY/MM/DD)
PART J - CERTIFICATION (IMPORTANT - Each transferee must complete a certification)
CONSENT - I consent that the information provided on this return may be verified by accessing relevant records held by the Home Owner Grant Office, the Land
Title and Survey Authority of British Columbia (LTSA), BC Assessment (BCA), the ministry responsible for the BC Provincial Nominee Program and other sources as
required. Updated property information is provided to the LTSA, BCA and Canada Revenue Agency.
FIN 579 2021/ /2
TRANSFEREE INDIVIDUAL OTHER:
Are you claiming an exemption? PERCENTAGE INTEREST ACQUIRED (%)
LAST NAME/CORPORATION NAME
GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD) TELEPHONE NUMBER BUSINESS NUMBER EMAIL ADDRESS
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
ADDITIONAL TRANSFEREE INFORMATION FOR NON-CANADIAN CITIZEN OR NON-PERMANENT RESIDENT
Note if you are claiming a BC Provincial Nominee exemption you must attach a copy of your BC PN Certificate
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR) CITY
PROVINCE/STATE
POSTAL/ZIP CODE
COUNTRY
PREVIOUS MAILING ADDRESS
(Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE
POSTAL/ZIP CODE
COUNTRY
Enter two income tax returns filed as a BC resident during the six years before the date of registration.
Yes No
Yes No
Is the transferee claiming the Canadian-controlled limited partnership exemption?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Attach a Schedule 1 - additional transferee(s) for each additional transferee
DECLARATION – Complete this section only if you are applying for the first time home buyers’ program. Before completing, make sure you read and understand
the qualifications for the exemption and the first year requirements, as explained in the Guide to the First Time Home Buyers’ Program.
FIRST TIME HOME BUYER'S DECLARATION
1. Have you owned an interest in a principal residence (where you lived) anywhere in the world at any time?
3. On the date of registration, are you a Canadian citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
Does the transferee intend to use the property as their principal residence?
Is the transferee holding the property on behalf of a limited partnership? (If YES, complete Schedule 7 - Limited Partnership)
Is the transferee a trustee? (If YES, complete Schedule 4 - Settlor and Beneficiary Information)
4. Have you continuously resided in BC for at least one year immediately prior to the registration date OR
filed two income tax returns as a BC resident during the six years before the date of registration?
On the date of registration, are you a Canadian citizen or
a permanent resident as defined in the Immigration and
Refugee Protection Act (Canada)?
Penalty for False Declaration – if you make a false declaration, you will be charged an amount equal to double the tax (the tax you owe plus a penalty equal to
the exemption you claimed).
CERTIFICATION (IMPORTANT - Each transferee must complete a certification)
I certify and declare that the information given in this return is complete and correct in all respects. I acknowledge that there are penalties for tax avoidance or
providing false information. These penalties may include double the tax, tax plus interest, a fine and/or up to two years' imprisonment.
Freedom of Information and Protection of Privacy Act (FOIPPA) - The personal information in this form is collected for the purpose of administering the Property Transfer Tax Act
under the authority of section 26(a) of the FOIPPA. Questions about the collection or use of this information can be directed to the Director, Property Transfer Tax, PO Box 9427 Stn
Prov Govt, Victoria, BC V8W 9V1 (telephone: Victoria at 250-387-0555 or toll free at 1 888 355-2700)
TRANSFEREE SIGNATURE DATE SIGNED (YYYY/MM/DD)
CONSENT - I consent that the information provided on this return may be verified by accessing relevant records held by the Home Owner Grant Office, the Land
Title and Survey Authority of British Columbia (LTSA), BC Assessment (BCA), the ministry responsible for the BC Provincial Nominee Program and other sources as
required. Updated property information is provided to the LTSA, BCA and Canada Revenue Agency.
Attach a Schedule 5 - For transfers involving a Corporation
SCHEDULE 1 - ADDITIONAL TRANSFEREE
CORPORATION
Did the transferee live in BC for one year prior to the transfer of the property? Yes No (If YES, enter address; if NO enter income tax years)
If you are a confirmed BC Provincial Nominee (PN),
provide your BC PN certificate number
BC PN CERTIFICATE NUMBER
Are you claiming a BC PN Exemption? Yes No
INDIVIDUAL TAX NUMBER (ITN)
2. Have you ever received the BC first time home buyers' program or refund?
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OTHER:
Did you confirm the residency status of the transferor?
YES NO
LAST NAME/CORPORATION NAME
GIVEN NAME(S)
TELEPHONE NUMBER
EMAIL ADDRESS
ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE
POSTAL/ZIP CODE
COUNTRY
OTHER:
YES NO
LAST NAME/CORPORATION NAME
GIVEN NAME(S)
TELEPHONE NUMBER
EMAIL ADDRESS
ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE
POSTAL/ZIP CODE
COUNTRY
OTHER:
Did you confirm the residency status of the transferor?
YES NO
LAST NAME/CORPORATION NAME
GIVEN NAME(S)
TELEPHONE NUMBER
EMAIL ADDRESS
ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE
POSTAL/ZIP CODE
COUNTRY
OTHER:
Did you confirm the residency status of the transferor?
YES NO
LAST NAME/CORPORATION NAME GIVEN NAME(S)
TELEPHONE NUMBER
EMAIL ADDRESS
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
ADDITIONAL TRANSFEROR INDIVIDUAL
CORPORATION
Did you confirm the residency status of the transferor?
As defined under the Income Tax Act, is the transferor a: Resident of Canada Non- Resident of Canada
Attach another schedule 2 form if there are additional transferor(s)
SCHEDULE 2 - ADDITIONAL TRANSFEROR INFORMATION
CORPORATION
ADDITIONAL TRANSFEROR INDIVIDUAL
As defined under the Income Tax Act, is the transferor a: Resident of Canada Non- Resident of Canada
As defined under the Income Tax Act, is the transferor a: Resident of Canada Non- Resident of Canada
As defined under the Income Tax Act, is the transferor a: Resident of Canada Non- Resident of Canada
ADDITIONAL TRANSFEROR INDIVIDUAL
ADDITIONAL TRANSFEROR INDIVIDUAL
CORPORATION
CORPORATION
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PARCEL IDENTIFIER AND LEGAL DESCRIPTION OF LAND
PARCEL IDENTIFIER NUMBER (PID) LEGAL DESCRIPTION
MUNICIPALITY
REGIONAL DISTRICT
PARCEL IDENTIFIER AND LEGAL DESCRIPTION OF LAND
LEGAL DESCRIPTION
MUNICIPALITY
REGIONAL DISTRICT
PARCEL IDENTIFIER AND LEGAL DESCRIPTION OF LAND
LEGAL DESCRIPTION
MUNICIPALITY
REGIONAL DISTRICT
PARCEL IDENTIFIER AND LEGAL DESCRIPTION OF LAND
LEGAL DESCRIPTION
MUNICIPALITY
REGIONAL DISTRICT
Attach another schedule 3 form if there are additional properties
SCHEDULE 3 - ADDITIONAL PROPERTY
PARCEL IDENTIFIER NUMBER (PID)
PARCEL IDENTIFIER NUMBER(PID)
PARCEL IDENTIFIER NUMBER(PID)
FIN 579 2021/ /2
TRUSTEE NAME
TRUST NAME
Is this a bare trust?
Did you identify and report all the settlors and beneficiaries?
This is: Beneficiary Both
Type Other
LAST NAME/CORPORATION NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER BUSINESS NUMBER EMAIL ADDRESS
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
INDIVIDUAL TAX NUMBER
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
This is: Beneficiary Both
Type Other
LAST NAME/CORPORATION NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER BUSINESS NUMBER EMAIL ADDRESS
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
INDIVIDUAL TAX NUMBER
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
This is: Beneficiary Both
Type Other
LAST NAME/CORPORATION NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER BUSINESS NUMBER EMAIL ADDRESS
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
INDIVIDUAL TAX NUMBER
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Individual Corporation
Individual Corporation
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
If NO, you must explain the effort made and the reason why you were unable to identify and report all settlors and beneficiaries. Attach this explanation to this
return
Individual Corporation
Is the trust exempt from the additional information disclosure?
SCHEDULE 4 - SETTLORS AND BENEFICIARIES
Attach another schedule 4 form if there are additional settlors and/or beneficiaries
Settlor
Settlor
If YES, list the Trust Type
Settlor
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
FIN 579 2021/ /2
Legal Corporation Name
Yes No
Public Company Name (if different from legal name)
Exclusion type
Yes No
Yes
No
Jurisdiction of Incorporation
Are any shareholders of the corporation a foreign entity? Yes No
Director 1 OTHER:
LAST NAME/CORPORATION NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER BUSINESS NUMBER EMAIL ADDRESS
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
INDIVIDUAL TAX NUMBER
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Director 2 OTHER:
LAST NAME/CORPORATION NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER BUSINESS NUMBER EMAIL ADDRESS
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
INDIVIDUAL TAX NUMBER
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Director 3 OTHER:
LAST NAME/CORPORATION NAME
GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER BUSINESS NUMBER EMAIL ADDRESS
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
INDIVIDUAL TAX NUMBER
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Attach another schedule 5 form if there are additional directors
CORPORATION
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
CORPORATION
CORPORATION
SCHEDULE 5 - DIRECTORS OF CORPORATION
CORPORATION INFORMATION
Is the transferee a public company?
Is the corporation excluded from the additional information disclosure? Yes No
Does the corporation have any corporate interest holders? (if "Yes" complete schedule 6)
Is the corporation a foreign corporation?
INDIVIDUAL
INDIVIDUAL
INDIVIDUAL
FIN 579 2021/ /2
Did you identify and report all the corporate interest holders?
Interest Holder 1
LAST NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER
INDIVIDUAL TAX NUMBER
EMAIL ADDRESS
COUNTRY OF CITIZENSHIP
SOCIAL INSURANCE NUMBER (SIN)
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE
POSTAL/ZIP CODE
COUNTRY
Interest Holder 2
LAST NAME
GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER
INDIVIDUAL TAX NUMBER
EMAIL ADDRESS
COUNTRY OF CITIZENSHIP
SOCIAL INSURANCE NUMBER (SIN)
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Interest Holder 3
LAST NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER
INDIVIDUAL TAX NUMBER
EMAIL ADDRESS
COUNTRY OF CITIZENSHIP
SOCIAL INSURANCE NUMBER (SIN)
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Interest Holder 4
LAST NAME
GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER
INDIVIDUAL TAX NUMBER
EMAIL ADDRESS
COUNTRY OF CITIZENSHIP
SOCIAL INSURANCE NUMBER (SIN)
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Attach another schedule 6 form if there are additional corporate interest holders
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
SCHEDULE 6 - CORPORATE INTEREST HOLDERS
If "NO" , You must explain the effort made and the reason why you were unable to identify and report all corporate interest holders. Attach this explanation to this return
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
FIN 579 2021/ /2
Limited Partnership Name
What is the general nature of the business carried on or intent to be carried on by the limited partnership?
What is the term for which the limited partnership is to exist?
Type
Individual
Other
TRUST NAME TRUST ACCOUNT NUMBER
OTHER NAME BUSINESS NUMBER
LAST NAME/CORPORATION NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER
INDIVIDUAL TAX NUMBER
EMAIL ADDRESS
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR)
CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Is the corporation a foreign corporation? Yes No
Is the partner a foreign limited partner? Yes No
Resident of Canada
Non Resident of Canada
Income tax fiscal year end (MM/DD) What is the partner's share of the limited partnership profit? %
Type
Individual
Other
TRUST NAME TRUST ACCOUNT NUMBER
OTHER NAME BUSINESS NUMBER
LAST NAME/CORPORATION NAME GIVEN NAME(S)
DATE OF BIRTH (YYYY/MM/DD)
TELEPHONE NUMBER
INDIVIDUAL TAX NUMBER
EMAIL ADDRESS
SOCIAL INSURANCE NUMBER (SIN)
COUNTRY OF CITIZENSHIP
MAILING ADDRESS (Apt. No., Street No./Name, PO Box, RR) CITY
PROVINCE/STATE POSTAL/ZIP CODE COUNTRY
Is the corporation a foreign corporation? Yes No
Is the partner a foreign limited partner? Yes No
Resident of Canada
Non Resident of Canada
Income tax fiscal year end (MM/DD) What is the partner's share of the limited partnership profit? %
Attach another schedule 7 form if there are additional partners of the limited partnership
Partners of the limited partnership
SCHEDULE 7 - LIMITED PARTNERSHIP
What is the residency of the partner for income tax purposes throughout
the taxation year in which the transaction occurs?
Limited Partner
Corporation
Trust
Fair market value of capital contributions
$
Is any beneficiary a foreign entity? Yes No
Partner Type
General Partner
What is the residency of the partner for income tax purposes throughout the
taxation year in which the transaction occurs?
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
On the date of registration, are you a Canadian
citizen or a permanent resident as defined in the
Immigration and Refugee Protection Act (Canada)?
Trust
General Partner
Partner Type
Corporation
Fair market value of capital contributions $
Is any beneficiary a foreign entity? Yes No
Limited Partner
FIN 579 2021/ /2
1 of 3 PagesTransparency declaration
© Copyright 2021, Land Title and Survey Authority of British Columbia. All rights reserved.
Transparency Declaration
2. Transferee Information
Reporting body type (select one)If yes:
Is this transferee a reporting body?
Corporation
Individual
PID(s)
Type
1. Property Information
Transferee 1
Last name
Given name(s)
Relevant corporation
Yes
Trustee of a relevant trust
Partner of a relevant partnership
No
Reporting body is exempt from the requirement to le a Transparency Report under s. 21 of the Land Owner Transparency Regulation
Enter the Parcel Identier (PID) assigned to the land being transferred.
Name of corporation
(select one)
Land title or charge number Legal description of land
*If the parcel has not been assigned a PID, enter another identier or a legal description of the parcel below. Titles and charges that do not have a PID are those recorded in an Absolute Fee
Book (AFB), Indefeasible Fee Book (IFB), Absolute Fee Charge Book (AFCB) or are Vancouver Street Leases.
Suggested structure of title or charge entry:
<Land Title District> <Book Prex>
<Volume>/<Folio>/<Document Number>
Examples of legal description of a parcel of land:
District Lot 1234, Cariboo Land District
Lot 1, District Lot 555, New Westminster District, Plan 12345
*If more space is needed, enter the remaining PIDs in another Transparency Declaration form.
Examples of titles / charges:
NW AFB 18/155/979a
KA AFCB 1/524/1960
VA IFB 6/447/17185
This information is collected by the Land Title and Survey Authority of British Columbia under s. 26(a) and s. 26(c) of the Freedom of Information and Protection
of Privacy Act and will be used for general administration of the Land Owner Transparency Act and its regulations. Should you have any questions about the
collection of this personal information please contact:
Administrator, Land Owner Transparency Act
Land Title and Survey Authority of British Columbia
Suite 500 – 11 Eighth Street, New Westminster, BC V3M 3N7
T: 1-877-577-5872 or 604-630-9630
E: lotr@ltsa.ca
Does the land being transferred have a Parcel Identier (PID) assigned to it?
Yes No*
If yes:
If no: Enter another identier or a legal description of the parcel. (Select one)
2 of 3 PagesTransparency declaration
© Copyright 2021, Land Title and Survey Authority of British Columbia. All rights reserved.
Transparency Declaration
Reporting body type (select one)
Reporting body type (select one)
Reporting body type (select one)
If yes:
If yes:
If yes:
Is this transferee a reporting body?
Is this transferee a reporting body?
Is this transferee a reporting body?
Relevant corporation
Relevant corporation
Relevant corporation
Yes
Yes
Yes
Trustee of a relevant trust
Trustee of a relevant trust
Trustee of a relevant trust
Partner of a relevant partnership
Partner of a relevant partnership
Partner of a relevant partnership
No
No
No
Corporation
Corporation
Corporation
Individual
Individual
Individual
Type
Type
Type
Transferee 2
Transferee 3
Transferee 4
Last name
Last name
Last name
Given name(s)
Given name(s)
Given name(s)
Name of corporation
Name of corporation
Name of corporation
(select one)
(select one)
(select one)
Reporting body is exempt from the requirement to le a Transparency Report under s. 21 of the Land Owner Transparency Regulation
Reporting body is exempt from the requirement to le a Transparency Report under s. 21 of the Land Owner Transparency Regulation
Reporting body is exempt from the requirement to le a Transparency Report under s. 21 of the Land Owner Transparency Regulation
3 of 3 PagesTransparency declaration
© Copyright 2021, Land Title and Survey Authority of British Columbia. All rights reserved.
Transparency Declaration
Certication date (YYYY-MM-DD)Signature
Certier 4 - Name (Printed)
Certifying on behalf of the following transferee
Certication date (YYYY-MM-DD)Signature
Certier 3 - Name (Printed)
Certifying on behalf of the following transferee
Certication date (YYYY-MM-DD)Signature
Certier 2 - Name (Printed)
Certifying on behalf of the following transferee
Certication date (YYYY-MM-DD)Signature
Certier 1 - Name (Printed)
Certifying on behalf of the following transferee
I, having knowledge of the matters included in this transparency declaration and having the actual authority to certify this declaration as the transferee or on behalf
of the transferee, I certify that this transparency declaration is correct and complete to the extent required under s. 10(3) and s. 25 of the Land Owner Transparency Act
(LOTA). I understand and acknowledge that LOTA provides for administrative penalties under Division 4 of Part 4 and for nes and other monetary payments under Part
6 for the provision of false or misleading information in a transparency declaration.
3. Certier Information
Page 1 of 2
Declaration of exclusion from the
Land Owner Transparency Act (LOTA)
Please only complete this form if you are filing an application to register an interest in land that is excluded from
the requirements of LOTA. If the interest in land is not excluded under LOTA, you must file a transparency
declaration and if also required, a transparency report. For further information, visit https://landtransparency.ca
Date:
To: The Registrar, Land Title Office,
Re: Application to the Registrar under section 168.2(2) of the
Land Title Act
to submit the
attached Form __________ (state the name of the form(s)) in hardcopy form
without a LOTA Transparency Declaration
Legal Description: ___________________________________________________________
___________________________________________________________
PID Number(s): ___________________________________________________________
I hereby certify that I am:
(choose one)
☐
The Applicant.
☐
Solicitor (as the case may be) for (name of applicant) , the applicant for
registration of the attached application.
☐
Authorized agent (as the case may be) for (name of applicant) , the
applicant for registration of the attached application.
Continued on next page.
Page 2 of 2
I certify that the attached application is excluded from the requirements of the
Land Owner
Transparency Act
and therefore a Transparency Declaration is not required to be filed with this
application for the following reason:
(choose one)
☐
The interest in land(s) being transferred is not one of the following interests in land as
defined in section 1 of LOTA:
(a) an estate in fee simple;
(b) a life estate in land;
(c) a right to occupy land under a lease that has a term of more than 10 years;
(d) a right under an agreement for sale to
(i) occupy land, or
(ii) require the transfer of an estate in fee simple;
Or
☐
The interest in land(s) being transferred is one of the following excluded Indigenous
lands under section 6 of LOTA:
(a) treaty lands of a Treaty First Nation;
(b) Nisg
̱
a'a Lands;
(c) Nisg
̱
a'a Fee Simple Lands as defined in the Definitions Chapter of the Nisg
̱
a'a Final
Agreement;
(d) Sechelt lands, as defined in section 2 (1) of the
Sechelt Indian Band Self-
Government Act
(Canada);
(e) a reserve, as defined in section 2 (1)
[definitions]
of the
Indian Act
(Canada);
(f) Other Maa-nulth First Nation Lands as defined in the Definitions Chapter of the Maa-
nulth First Nations Final Agreement;
(g) Other Tla'amin Lands as defined in the Definitions Chapter of the Tla'amin Final
Agreement;
(h) Other Tsawwassen Lands as defined in the Definitions Chapter of the Tsawwassen
First Nation Final Agreement.
_________________________________ ___________________________________
Name (Print Name) Signature
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Transmission of an Interest to a Personal Representative (BC Land Title & Survey)

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Completed 25 July 2021

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