Status Certificate Request

Request Date:

Requested By

Company Name:
First Name:
Middle Name:
Last Name:
Email Address:
Retype Email Address:
Phone Number:
- - x

Status Certificate for the following property

Corporation Number:
Street Address:
City:
Postal/Zip Code:

Unit Owner

First Name:
Middle Name:
Last Name:
Unit No.:
Unit Legal No.:
Unit Level No.:
Parking No.:
Parking Legal No.:
Parking Level No.:
Locker No:
Locker Legal No.:
Locker Level No.:

Purchaser Infomation (if known)

Purchaser Name:
Lawyer/Agent:
Lawyer/Agent's Phone:
- - x
Closing Date (enter if available)

Payment Method (Select One)


Online Payment



OR

Cheque*

*Money order or certified cheque, enter cheque number in comment. No personal cheque to be accepted.




Comment

Email and/or Pick up (Select at least One):

Total: