MNO. CTA

LAND TITLE ACT
Form 2
Sections 43(a) and 44(a)

AFFIDAVIT OF WITNESS

.of we :
in British Columbia, make oath and say:

I was present and saw this instrument duly signed and executed by JOHN GEORGE SARIC*.
the party(ies) to it, for the purposes named in it.

‘The instrument was executed at

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

{am the subscribing witness to the instrument and am 16 years old or more.

Sworn before me at

in British Columbia, this _

day of —

Write name and qualifications under section 48,6,

for Taking A for British Ci

AC
NOTE: This affidavit must be sworn by a witness who is not a party to the instsument.

Siete

as