Form 24 Request to Revise the Registration and Certificate of Legal Effect Land Registration Act, S.N.S. 2001, c.6, subsection 18(13) Land Registration Administration Regulations, subsections 8(1), 8(2), 14(2), 15(2) and 17(4) Registration district: Halifax Registrant user number: Submitter's name/firm: In the matter of Parcel Identification Number (PID) PID: 000 PID: (Expand box for additional PIDs.) ☐ (check if appropriate) This request and Certificate of Legal Effect includes a (select one) benefit/burden that affects another parcel registered under the Land Registration Act and a separate Form 24 relating to this (select one) benefit/burden is being submitted contemporaneously herewith. ☐ (check if appropriate) This request and Certificate of Legal Effect is being used to revise the registration of multiple PIDs. The attached document is a certified copy of a document that is being submitted for registration contemporaneously herewith. ☐ (check if appropriate) This request and Certificate of Legal Effect is being used to remove a judgment from the parcel register. The attached document outlines or is the basis upon which the removal of the judgment is being requested. ☐ (check if appropriate) This transfer relates to a portion of the above-noted consolidated parcel. ☐ (check if appropriate) This transfer of ownership also subdivides land and creates a parcel or parcels 10 hectares or greater in area. ☐ (check if appropriate) This request includes the addition of a benefit by adverse possession or prescription over a parcel that has not been registered under the Land Registration Act. An abstract of title for the benefit is attached, but no Form 8 Opinion is necessary, as per Land Registration Administration Regulations, subsection 8(2). ☐ (check if appropriate) This transfer relates to a parcel to which the Co-operative Associations Act applies, and the endorsement of the Inspector of Co-operatives appears below. Signature of the Inspector of Co-operatives Endorsed for revision under the Land Registration Act Page -1- Effective May 16, 2005