In the matter of lost duplicate certificate of title number _______________.
I, ____________________________, and I, __________________________, (one of) the attorney(s) under a power of attorney from John Doe (the “Donor”) (severally) make oath and say / hereby affirm that:
1. I am (one of) the attorney(s) for the Donor, who is (one of) the registered owner(s) of the land described in certificate of title number ____________ (the “Title”).
2. I have made a thorough search for the Title through all of the papers of the Donor and in all locations where such a document would be stored or placed, and I have been unable to locate it. The Donor is unable to perform this search because (s)he is out of the jurisdiction.
2. THAT I have made a thorough search for the Title through all of the papers of the Donor and in all locations where such a document would be stored or placed, and I have been unable to locate it. The Donor is unable to perform this search due to mental and or physical incapacity.
2. THAT the Donor has informed me, and I do verily believe that (s)he has made a thorough search for the Title through all of the Donor’s papers and in all locations where such a document would be stored or placed, and (s)he has been unable to locate it. The Donor is unable to provide this evidence personally because (s)he is out of the jurisdiction.
3. THAT the Title has not been pledged, hypothecated or deposited by me, on behalf of the Donor, by way of lien or as security for a loan. To the best of my knowledge and belief the Title has not been pledged, hypothecated or deposited by the Donor or by any other person on behalf of the Donor by way of lien or as security for a loan. The Donor is unable to provide this evidence personally due to mental incapacity.
3. THAT the Title has not been pledged, hypothecated or deposited by me, on behalf of the Donor, by way of lien or as security for a loan. I am informed by the Donor that the Title has not been pledged, hypothecated or deposited by the Donor or by any other person on behalf of the Donor by way of lien or as security for a loan. The Donor is unable to provide this evidence personally due to physical incapacity.
3. THAT the Title has not been pledged, hypothecated or deposited by me, on behalf of the Donor, by way of lien or as security for a loan. I am informed by the Donor that the Title has not been pledged, hypothecated or deposited by the Donor or by any other person on behalf of the Donor by way of lien or as security for a loan. The Donor is unable to provide this evidence personally because (s)he is out of the jurisdiction.
4. THAT to the best of my knowledge the Title is lost or has been destroyed.
4. THAT to the best of my knowledge the Title is lost or has been destroyed and the Donor informs me that to the best of the Donor’s knowledge the Title is lost or has been destroyed.
5. (Inset 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 the Title.
(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