W775048.1
LAND TITLE ACT
FORM C
(Section 233)
Province of British Columbia
GENERAL INSTRUMENT - PART 1
(This area for Land Title Office use)
Page 1 of 3 Pages
1.
APPLICATION:
(name, address, phone number and signature of applicant, applicant's solicitor or agent)
Authorized Agent
2.
PARCEL IDENTIFIER(S) AND LEGAL DESCRIPTION(S) OF LAND:*
(PID)
(LEGAL DESCRIPTION)
<@>
Strata Lot <@>, District Lot <@>, Leasehold Strata Plan <@>
3.
NATURE OF INTEREST:*
DOCUMENT REFERENCE
PERSON ENTITLED
DESCRIPTION
(page and paragraph)
TO INTEREST
Assignment of Lease <@>
Entire Instrument
Transferee
4.
TERMS:
Part 2 of this Instrument consists of (select one only)
(a)
Filed Standard Charge Terms
x
D.F. Number
<@>
(b)
Express Charge Terms
Annexed as Part 2
(c)
Release
There is no Part 2 of this instrument
A selection of (a) includes any additional or modified terms referred to in Item 7 or in a schedule annexed to this instrument. If (c) is selected, the
charge described in Item 3 is released or discharged as a charge on the land described in Item 2.
5.
TRANSFEROR(S):*
<@>
6.
TRANSFEREE(S):
(including postal address(es) and postal code(s)):*
<@>
7.
ADDITIONAL OR MODIFIED TERMS:*
<@>
8.
EXECUTIONS:** This instrument creates, assigns, modifies, enlarges, discharges or governs the priority of the interest(s) described in Item 3
and the Transferor(s) and every other signatory agree to be bound by this instrument, and acknowledge(s) receipt of a true copy of the filed
standard charge terms, if any.
Execution Date
Officer Signature(s)
Y
M
D
Transferor(s) Signature(s)
<@>
(As to both signatures)
<@>
<@>
<@>
<@>
<@>
<@>
<@>
<@>
OFFICER CERTIFICATION:
Your signature constitutes a representation that you are a solicitor, notary public or other person authorized by the Evidence Act, R.S.B.C. 1996, c. 124, to take
affidavits for use in British Columbia and certifies the matters set out in Part 5 of the Land Title Act as they pertain to the execution of this instrument.
*If space insufficient, enter "SEE SCHEDULE" and attach schedule in Form E.
**If space insufficient, continue executions on additional page(s) in Form D.
W775048.1
LAND TITLE ACT
FORM D
EXECUTIONS CONTINUED
Page 2
Execution Date
Officer Signatures(s)
Y
M
D
Party Signature(s)
<@>
<@>
<@>
<@>
<@>
OFFICER CERTIFICATION:
Your signature constitutes a representation that you are a solicitor, notary public or other person authorized by the Evidence Act, R.S.B.C. 1996, c. 124, to take
affidavits for use in British Columbia and certifies the matters set out in Part 5 of the Land Title Act as they pertain to the execution of this instrument.
LAND TITLE ACT
FORM E
SCHEDULE
Page 3
ENTER THE REQUIRED INFORMATION IN THE SAME ORDER AS THE INFORMATION MUST APPEAR ON THE
FREEHOLD TRANSFER FORM, MORTGAGE FORM OR GENERAL DOCUMENT FORM.
W775048.1
7. ADDITIONAL OR MODIFIED TERMS:
(a) In consideration of the sum of $<@> paid by the Purchaser to the Vendor (the receipt and sufficiency of
which is hereby acknowledged by the Vendor), the Vendor as beneficial owner hereby assigns to the
Purchaser the Vendor's interest in the Strata Lot, to hold unto the Purchaser for all the residue now
unexpired of the term of the Lease, subject to the payment to the University of the rent reserved in the
Lease, to the performance and observance of the covenants on the part of the Lessee to be performed
and observed, and the conditions contained in the Lease, all in so far as the same relate to the Strata Lot.
(b) The University hereby consents to this assignment.
THE UNIVERSITY OF BRITISH COLUMBIA
Authorized Signatory
Name:
END OF DOCUMENT