Province of Québec
District of ______________________________
REPORT ON THE STATE OF THE RECORDS FOR WHICH ASSIGNMENT IS REQUESTED
I the undersigned, assignee of the records of Mtre ______________________________ notary practising in the district of ______________________________ certify:
(1) that the minutes found in such records are in perfect state of preservation (or as the case may be);
(2) that the number of the said minutes is ______________________________ numbered from ______________________________ to ______________________________ executed from ______________________________, the date of the first minute and that the number of the last minute is ______________________________ and is dated ______________________________;
(3) that the number of the missing minutes is ______________________________ (indicate the number and the nature of the missing minutes).
IN WITNESS THEREOF I have signed the present report at ______________________________ this __________ day of ______________________________ 20__________