Notice of Security Interest (Fixtures or Crops)

FORM 16 Personal Property Security Act

Section 49(2)

TAKE NOTICE that a security interest has been created in collateral that is or may become a fixture or crop on land and that the particulars of the security interest are set out as follows:

Debtor

Legal description of land upon which the collateral is or will be located or affixed, and LINC if known:

Secured Party

Amount Secured $

Description of Collateral

AND that is notice will expire the of , OR Infinity.

Dated this day of , .

at .

Secured Party or Agent Secured Party or Agent

(Name – Please PRINT) (Signature)

Affidavit Verifying Notice FORM 18

Personal Property Security Regulation Section 66(1)

I, of

in the ,

make oath and say:

1. That I have been authorized by the secured party to act as an agent for the purpose of effecting registration of

notices relating to a security interest in a fixture or crop on the land described in the attached notice.

2. That I have full knowledge of the facts set out in the attached notice and the statement of facts is true.

SWORN before me at

in the

this day of ,

(Signature of Agent)

(Print or Stamp Name of Commissioner)

(Expiry Date of Commission or Office)