N-3, r. 10 - Regulation respecting the records and files of a notary who ceases to practise, the resumption of practice and power of attorney

Schedule Disposition versions

2012-09-01

SCHEDULE 5

(s. 3.01)

Canada

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__________

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Assignee notary

R.R.Q., 1981, c. N-2, r. 9, Ann. 5.