27. The transferee shall, at the time of a deemed transfer, furnish the Minister with a statement in duplicate and in the prescribed form containing the following particulars:(a) the name and the address of the principal residence of each of the persons contemplated in section 24 and of the transferee, as the case may be;
(b) the designation of the land;
(c) the market value of the land at the time of the transfer;
(d) the detailed computation of the percentage contemplated in section 25;
(e) the amount of the duties;
(f) the particulars required by sections 33, 46 and 47, if such is the case;
(g) any other particular prescribed.