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FORM no. ure 3 LAND TITLE ACT
- Form2
Sections 43(a) and 44(a)

AFFIDAVIT OF WITNESS

of

in British Columbia, make oath and say:
I was present and saw this instrument duly signed and executed by JOHN SARIC.

. the party(ies) to it, for the purposes named in it.

The instrument was executed at

I know the party(ies) who is(are} 19 years old or more.

4. Tam the subscribing witness to the instrument and am 16 years old or more. -.

Swom before me at:

in British Columbia, this .

day of °

“ eweite name and qualifications under section 48, ¢... A Commissioner for Taking Affidevits for British Columbia,
NOTE: This affidavit must be sworn by 3 witness who is not a party to she instrument.. hae