Form 5: Security Notice
PDF Version (10 Kb, 2 Pages)
Accessibility Notice
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Canada Petroleum Resources Act (section 88)
To The Registrar:
From _____________________________________________ (the "Secured Party")
- The Secured Party hereby claims the following security interest: (describe the nature of the security interest claimed and the Frontier lands to which the claim relates; if insufficient space attach a schedule)
- The security interest arises under and by virtue of the following transaction: (describe the type of transaction, documents giving rise to the Security Notice and give the date and the person from whom the security interest was acquired)
- The Secured Party requests that the particulars of the security interest be registered and entered in the abstract of the following interest(s): (describe the interest(s) by type, number and date)
- The Secured Party's address for service is: Executed this _____________________ day of ______________________ 20 ___.
______________
Secured Party
Form 5 - Instructions
- Complete the required information.
- The appropriate fees required according to section 15 of the Frontier Lands Registration Regulations must be submitted with the Security Notice.
- Insert the Secured Party's address for service.
- This Security Notice document must be signed by the Secured Party and the date of execution must be inserted.