Withdrawal Certificate of Lis Pendens

COURT FILE NUMBER Clerk’s Stamp

Court of Queen’s Bench of Alberta

COURT

JUDICIAL CENTRE

PLAINTIFF

DEFENDANT

WITHDRAWAL CERTIFICATE OF LIS PENDENS

DOCUMENT

ADDRESS FOR SERVICE AND CONTACT INFORMATION OF PARTY FILING THIS DOCUMENT

To:

Registrar of Land Titles

THIS IS TO CERTIFY that the Certificate of Lis Pendens registered at the Land Titles Office for the Alberta Land Registration District as Instrument Number on against the following lands: [

Insert Legal description]

is hereby withdrawn and discharged as against the aforesaid lands, the within proceedings having been discontinued.

DATED at

, Alberta, City / Town / Municipality

on

, , 20

..

Date

Clerk of the Court

Withdrawal Certificate Lis Pendens

January 2011