3990 Schedule B - Statement of TransferLRO # 41 Transfer
This document has nat been submitted and may be incomplete.
In preparation on 2016 0318
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I Properties
PIN 00035 -0344 LT Interest/Estate Fee Simple
Description PT LT 2-3 CON 5 NTR MIDDLETON: BEING PARTS 4, 6, 7 & 8 ON 41R-9322;
TILLSONBURG; SUBJECT TO AN EASEMENT AS IN C0132567; SUBJECT TO AN
EASEMENT OVER PART 6 OF PLAN 41 R-9322; TOWN OF TILLSONBURG
Address TILLSONBURG
PIN 00035 -0343 L T Interest/Estate Fee Simple
Description PT LT 2-3 CON 5 NTR MIDDLETON; BEING PART 5 ON 41R-9322; TILLSONBURG;;
TOWN OF TILLSONBURG
Address 20 CLEARVIEW DRIVE
TILLSONBURG
I Consideration
Consideration $151,071.00
I Transferor(s)
The transferor(s) hereby transfers the land to the transferee(s).
Name THE CORPORATION OF THE TOWN OF TILLSONBURG
Acting as a company
Address farSeiVice 200 Broadway, Suite 204, 2nd Floor
Tillsonburg, ON N4G 5A7
I, Stephen Molnar (Mayor) and Donna Wilson (Town Clerk), have the authority to bind the corporation.
This document is not authorized under Power of Attorney by this party.
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I Transferee(s) Capacity Share
Name 2507566 ONTARIO INC.
Acting as a company
Address for SeiVice 8946 Plank Road, R.R.#1
. Straffordville, ON NOJ 1YO
I Statements
Schedule: See Schedules
STATEMENT OF THE TRANSFEROR (S): The transferor(s) verifies that to the best of the transfero(s knowledge and belief, this
transfer does not contravene the Planning Act.
STATEMENT OF THE SOLICITOR FOR THE TRANSFEROR (S): I have explained the effect of the Planning Act to the transferor(s)
and I have made inquiries of the transferor(s) to determine that this transfer does not contravene that Act and based on the
information supplied by the transferor(s), to the best of my knowledge and belief, this transfer does not contravene that Act. I am an
Ontario solicitor in good standing.
STATEMENT OF THE SOLICITOR FOR THE TRANSFEREE (S): I have investigated the title to this land and to abutting land where
relevant and I am satisfied that the title records reveal no contravention as set out in the Planning Act, and to the best of my
knowledge and belief this transfer does not contravene the Planning Act. I act independently of the solicitor for the transferor(s) and I
am an Ontario solicitor in good standing.
I Calculated Taxes
Provincial Land Transfer Tax $1,235.71
I File Nu(flber
Transferor Client File Number: 0039911
Transferee Client File Number: R29725/16
2016103/18 09:32
LAND TRANSFER TAX STATEMENTS
In the matter of the conveyance of: 00035-0344 PT LT 2-3 CON 5 NTR MIDDLETON; BEING PARTS 4, 6, 7 & 8 ON 41 R-9322;
TILLSONBURG; SUBJECT TO AN EASEMENT AS IN C0132567; SUBJECT TO
AN EASEMENT OVER PART 6 OF PLAN 41 R-9322; TOWN OF TILLSONBURG
00035-0343 PT LT2-3 CON 5 NTR MIDDLETON; BEING PART5 ON 41R-9322;
TILLSONBURG; ; TOWN OF TILLSONBURG
BY: THE CORPORATION OF THE TOWN OF TILLSONBURG
TO: 2507566 ONTARIO INC. %(all PINs)
1. DAVID WIELER AND DWIGHT STEVEN
lam
D (a) A person in trust far wham the land conveyed in the above-described conveyance is being conveyed;
D (b) A trustee named in the above-described conveyance to whom the land is being conveyed;
0 (c) A transferee named in the above-described conveyance;
D (d) The authorized agent or solicHor acting in this transaction for __ described in paragraph(s) U above.
~ (e) The President, Vice-President, Manager, Secretary, Director, or Treasurer authorized to act far 2507566
ONTARIO INC. described in paragraph(s) (c) above.
D (t) A transferee described in paragraph ( ) and am making these statements an my awn behalf and an behalf of
__ who is my spouse described in paragraph U and as such, I have personal knowledge of the facts herein
deposed to.
3. The total consideration for this transaction is allocated as follows:
(a) Monies paid or to be paid in cash
(b) Mortgages (Q assumed (shaw principal and interest to be credHed against purchase price)
Oil Given Back Ia Vendor
(c) Property transferred in exchange (detail below)
(d) Fair market value of the land(s)
(e) Liens, legacies, annuities and maintenance charges Ia which transfer is subject
(t) Other valuable consideration subject to land transfer lax (detail below)
(g) Value of land, building, fixtures and goodwill subject to land transfer lax (total of (a) Ia (t))
(h) VALUE OF ALL CHATTELS-items aftangible personal property
Ol Other considerations far transaction not included in (g) or (h) above
(j) Total consideration
PROPERTY Information Record
A. Nature of Instrument:
B. Praperty(s):
Transfer
LRO 41 Registration No.
PIN 00035 -0344 Address
TILLSONBURG
PIN 00035 -0343 Address 20 CLEARVIEW
DRIVE
TILLSONBURG
C. Address for Service: 8946 Plank Road, R.R.#1
Straffordville, ON NOJ 1YO
D. (i) Last Conveyance(s): PIN 00035 -0344 Registration No.
PIN 00035 -0343 Registration No.
Date:
Assessment
Roll No
Assessment
Roll No
(ii) Legal Description for Property Conveyed : Same as in last conveyance? Yes D No ~ Not known 0
151,071.00
0.00
0.00
0.00
0.00
0.00
0.00
151,071.00
0.00
0.00
151,071.00