The Pamphlet Collection of Sir Robert Stout: Volume 88
Forms of Application, Transfer, Mortgage, etc. — A. — Application to Bring Land under the Provisions of the Act
Forms of Application, Transfer, Mortgage, etc.
A.
Application to Bring Land under the Provisions of the Act.
I, A.B., of ____, do declare that I am [ or on behalf of ____of ____ that he is] seized of an estate of freehold [Here state whether of inheritance or of a life estate, and whether held in trust] in all that pieee of land situated in [ Here state the situation], containing [ Here state the urea], be the same a little more or less (exclusive of roads intersecting the same, if any), with [ Here slate rights of way and other privileges or easements appertaining, ami act forth a sufficient description to identify the land], which piece of land is of the value of £ ____ and no more, and is ttie town allotment [ or country section, or is part of the town allotment, country section, or reserve] originally granted to ____, by grant dated the day of ____, numbered ____in the plan of the [District, Township, or County] of ____ as delineated on the public maps of the province deposited in the ____ : And I do further declaro that I am not aware of any mortgage, encumbrance, or claim affecting the said land, or that any person hath any claim, estate, or interest in the said land, at law or in equity, in possession or in expectancy, other than is set forth and stated as follows: that is to say—[ Here state particulars of mortgages, encumbrances, dower or other interest to which the land mag be subject]. And I further declare that there is no person in possession or occupation of the said lands adversely to my estate or interest therein, and that the said land is now] Here state name and description of occupier, or that the land is unoccupied], and that [ Here state the names and addresses of owners and occupiers of lands contiguous thereto], and that there are no deeds or instruments of title affecting such land in my possession or under my control other than those enumerated in the Schedule hereto or at the foot hereof. And I make this solemn declaration conscientiously believing the same to be true.
Dated at ____, this ____ day of ____, 18____ A.B.
Made and subscribed by the above-named A.B.,____ this ____ day of ____, in the presence of me, ____ District Land Registrar [or Justice of the Peace, or Notary Public].
I, A.B., the above declarant, do hereby apply to have the piece of land described in the above declaration brought under the provisions of the Act.
Dated at ____ this ____ day of ____ 18 ________A.B.
Witness to signature—C.D.