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4048 ATT05 - Registered Agreement Transfer CO162710 - 8 Hardy AveREGISTERED LRO # 41 Transfer Recelpted as C0162710 on 2017 04 04 The applicant(s) hereby applies to the Land Registrar. yyyy mm dd Properties PIN 00027 - 0952 LT Interest/Estate Fee Simple Description LT 598 PL 500 EXCEPT PT 1, 41 R6762; TOWN OF TILLSONBURG Address TILLSONBURG PIN 00027 - 0619 LT Interest/Estate Fee Simple Description PT WELDING RD PL 500 PT 1, 41R6175 CLOSED BY 424885; TILLSONBURG Address TILLSONBURG PIN 00027 - 0950 LT Interest/Estate Fee Simple Description PT UNNUMBERED LT, S SANDERS ST & W HARDY AVE, PL 500, PT 141 R8912; TOWN OF TILLSONBURG Address TILLSONBURG Consideration Consideration $ 146,000.00 Transferor(s) The transferor(s) hereby transfers the land to the transferee(s). Name THE CORPORATION OF THE TOWN OF TILLSONBURG Address for Service 200 Broadway Street, Tillsonburg, ON, N4G 5A7 This document is not authorized under Power of Attorney by this party. This document is being authorized by a municipal corporation David Beres, Deputy Mayor and Donna Wilson, Clerk. Transferee(s) Name TOWN OF TILLSONBURG NON-PROFIT HOUSING CORPORATION Address for Service P.O. Box 203 Tillsonburg, ON N4G 4H5 Signed By Patrick Joseph Kraemer 45 Erb St. East, box 457 Waterloo N2J 4135 'Tel 519-886-3340 Fax 519-886-8651 Capacity acting for Signed Transferor(s) I am the solicitor for the transferor(s) and I am not one and the same as the solicitor for the transferee(s). I have the authority to sign and register the document on behalf of the Transferor(s). Connie Adel Fortin 107 Broadway Street. PO Box 280 acting for Signed Tillsonburg Transferee(s) N4G 4H5 Tel 519-842-9017 Fax 519-842-3394 I am the solicitor for the transferee(s) and I am not one and the same as the solicitor for the transferor(s). I have the authority to sign and register the document on behalf of the Transferee(s). at 16:57 Page 1 of 2 I Share 2017 04 04 2017 04 04 LRO # 41 Transfer The applicants) hereby applies to the Land Registrar. Submitted By JENKINS & GILVESY Tel 519-842-9017 Fax 519-842-3394 Fees/Taxes/Payment .Statutory Registration Fee $63.35 Provincial Land Transfer Tax $1,185.00 Total Paid $1,248.35 File Number Transferor Client File Number: 0040477 Transferee Client File Number: 18200 Receipted as COI 62710 on 2017 04 04 at 16:57 yyyy mm dd Page 2 of 2 107 Broadway Street. PO Box 280 2017 04 04 Tillsonburg N4G 4H5 LAND TRANSFER TAX STATEMENTS In the matter of the conveyance of: 00027-0952 LT 598 PL 500 EXCEPT PT 1,41R6762; TOWN OF TILLSONBURG 00027-0619 PT WELDING RD PL 500 PT 1, 41R6175 CLOSED BY 424885; TILLSONSURG 00027 - 0950 PT UNNUMBERED LT, S SANDERS ST & W HARDY AVE, PL 500, PT 1 41R8912; TOWN OF TILLSONBURG BY. THE CORPORATION OF THE TOWN OF TILLSONBURG TO: TOWN OF TILLSONBURG NON-PROFIT HOUSING CORPORATION %(all PINs) 1. HURLEY, ROBERT AND HANSON, JOYCE lam ❑ (a) A person in trust for whom the land conveyed in the above-described conveyance is being conveyed; ❑ (b) A trustee named in the above-described conveyance to whom the land is being conveyed; ❑I (c) A transferee named in the above-described conveyance; C (d) The authorized agent or solicitor acting in this transaction for described in paragraph(s) U above. (e) The President, Vice -President, Manager, Secretary, Director, or Treasurer authorized to act for TOWN OF TILLSONBURG NON-PROFIT HOUSING CORPORATION described in paragraph(s) (c) above. ❑ (f) A transferee described in paragraph ( ) and am making these statements on my own behalf and on behalf of who is my spouse described in paragraph ❑ 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 146,000.00 (b) Mortgages (i) assumed (show principal and interest to be credited against purchase price) 0.00 (ii) Given Back to Vendor 0.00 (c) Property transferred in exchange (detail below) 0.00 (d) Fair market value of the land(s) 0.00 (e) Liens, legacies, annuities and maintenance charges to which transfer is subject 0.00 (f) Other valuable consideration subject to land transfer tax (detail below) 0.00 (g) Value of land, building, fixtures and goodwill subject to land transfer tax (total of (a) to (f)) 146,000.00 (h) VALUE OF ALL CHATTELS - items of tangible personal property 0.00 (i) Other considerations for transaction not included in (g) or (h) above 0.00 0) Total consideration 146,000.00 PROPERTY Information Record A. Nature of Instrument: Transfer LRO 41 Registration No. C0162710 Date: 2017/04/04 B. Property(s): PIN 00027 - 0952 Address Assessment - TILLSONBURG Roll No PIN 00027 - 0619 Address Assessment - TILLSONBURG Roll No PIN 00027 - 0950 Address Assessment - TILLSONBURG Roll No C. Address for Service: P.O. Box 203 Tillsonburg, ON N4G 4H5 D. (i) Last Conveyance(s): PIN 00027 - 0952 Registration No. B29002 PIN 00027 - 0619 Registration No. null PIN 00027 - 0950 Registration No. R510453 (ii) Legal Description for Property Conveyed : Same as in last conveyance? Yes [✓ No E] Not known ❑ E. Tax Statements Prepared By: Connie Adel Fortin 107 Broadway Street. PO Box 280 Tillsonburq N4G 41-15