Schedule IV: Affidavit of lost duplicate title for an estate

In the matter of lost duplicate certificate of title number _______________.             

I, ____________________________, and I, __________________________, one of the executors/administrators of the estate of John Doe, deceased (severally) make oath and say / hereby affirm:

1. THAT I am one of the executors/administrators of the estate of John Doe, who is (one of) the registered owner(s) of the land described in certificate of title ____________.
   
   
   
2. THAT I have made a thorough search for duplicate certificate of title no. ____________ through all of the papers of the deceased and in all locations where such a document would be stored or placed, and I have been unable to locate it.
   
   
   
3. THAT the said duplicate certificate of title has not been pledged, hypothecated or deposited by the deceased or by me or by any other person on behalf of the deceased or on my behalf by way of lien or as security for a loan.
   
   
   
4. THAT to the best of my knowledge the said duplicate certificate of title is lost or has been destroyed.
   
   
   
5. (Insert additional information here)
   
   
   
6. THAT I make this affidavit for the purpose of inducing the District Registrar of the Land Titles Office to dispense with the production of duplicate certificate of title no.        .

(Severally) Sworn / Affirmed                )

before me at the _______________of  )                         

____________________,                    )

in the Province                                     )

of ________________, this _______   )

day of _________________,               ) ________.                                          )                         

A Commissioner for Oaths in and for the

Province of Manitoba

My Commission expires:       

A Notary Public in and for the Province of Manitoba