Gouvernement du Québec
Ministère de la Justice
Register of personal and movable real rights
APPLICATION FOR REGISTRATION OF A RESERVATION OF OWNERSHIP, RIGHTS UNDER A LEASE OR CERTAIN OTHER RIGHTS
Form RD - Page 1
NATURE
1- NATURE Check one
a Reservation of ownership (installment sale)
b Rights under a lease
c Right of redemption
d Rights of ownership of the lessor (leasing)
e Reservation of ownership and transfer of the reservation of ownership
f Rights under a lease and transfer of rights
g Right of redemption and transfer of the right of redemption
h Rights of ownership of the lessor (leasing) and transfer
2- SINGLE REGISTRATION
a Check, where the registration is to apply to rights of the same nature granted subsequently to the registration
(C.C.Q., art. 2961.1)
D.R.C.E.
3- DATE AFTER WHICH REGISTRATION CEASES TO BE EFFECTIVE
Year Month Day
Note: Registration may be cancelled on the day following this date without presentation of an application to that
effect
PARTIES
1 4- Check one
a Seller
b Lessor (Lease)
c Lessor (Leasing) See instructions
5- Notice of address number
6- Surname
7- Given name
8- Date of birth (Year Month Day)
9- Name of organization or government agency
10- Address (no., street, municipality, province)
11- Postal code
If necessary, use Annex AP or AD
2 12- Check one
d Buyer
e Lesses (Lease)
f Lesses (Leasing) See instructions
13- Surname
14- Given name
15- Date of birth (Year Month Day)
16- Name of organization or government agency
17- Address (no., street, municipality, province)
18- Postal code
If necessary, use Annex AP or AD
Where applicable, check c certified statement of rights, also sent by c fax c e-mail
3 TRANSFEREE See instruction
19- Notice of address no.
20- Surname
21- Given name
22- Date of birth (Year Month Day)
23- Name of organization or government agency
24- Address (no., street, municipality, province)
25- Postal code
If necessary, use Annex AP or AD
PROPERTY
ROAD VEHICLE See instructions
26- Class
27- Identification no.
28- Year
29- Description
If necessary, use Annex AV
Where application, check c certified statement of rights, also sent by c fax c e-mail
30- OTHER PROPERTY
If necessary, use Annex AG
PARTICULARS
REFERENCE TO CONSTITUTING ACT
31- Form of act Check one
a Private writing
b Notarial act en minute
c Notarial act en brevet
32- Date (Year Month Day)
33- Place
34- No. of minute
35- Full name of notary
36- EXTENT OF THE TRANSFER Check one, where applicable
a Transfer of all the rights
b Transfer of a part of the rights
37- OTHER PARTICULARS
If necessary, use Annex AG
SIGNATURE
The undersigned hereby requests that this notice be registered.
38- Name of person signing
39- X
Signature
Form no.