-,AYIII4fffod& fviilgat ils bcrn

aAEa.rrjmp-!l

,rUII.,,t LANIJ U(JI{TJ.lnstdlrrratt Purclur* Apfl icrrtiotr (lpA)

ffiiT#T;if;ilH#ffiUttrSH:"H: fff:k y:*,yl*H#l=1s, BT senuine: a,o rhar r^ve have nor wi,hherd anyrhins whicn wourdprocessins and evaruation bv Avida Land co,n. or ils subsidiaries ;ilyr"; Appildffi;";ffi.;ffi1ffi'.ffi ffiT f:ffi#UffiffiI,Hg*,Ti#flvant to lhis Applir:alion which may *ry Jo

mylour knowledge or possessio[ atter ttp (He ol r*s +pr."d*. uwe autnorize Avira Land corp. or ils subsidiarbs to verify €

;fl:':ffi"H"TIJffill'::j.'Xtffff,fl"1f#;;n*fmr$Aiffii:f#tr;.iffi; Avira Land corp or irs s'rsjda'bs ror rhe pu,eundersland thal lhe receil by Avila Land CoIp. or ils

$I fH5r:i,ffi:"**y:ly f-ry a hrcp asreemenr berwe$ mpe*t and Avr.da Land corp.to rny_/ou ilteoded purchasgfr tie loyunl desgfl*d -r&;/.-Wr; :*:=_tl13,:l ry*,",.v x j"+pr*"o ro*,v iJ';;[i;'",,,i;li

DATE

' fJp5f,#',iffffgiyg: *"'""'n'n'".,,,ffi: i,lil,t!''trffi;Tff::#:fffis

orapprications, ALL spaces musr be cornprereryir. Htease aflach the docurnent requiiements when you subrnil this lorm.

The Company reserves lhe right fo require the disclosure.presenralion or submission .Looition?rl inroir"iiin"i,il"o*ur"n,"for the processing o, rhe appticanr "

rnsrairm"nipii"Llliiriorion

€fsingle O Married O WiOo*, O Legally Separ

O Own, Mortgaged Odn, Not Mortgaged

a'-.^- af . \e;;x" Province

o Owned dLeased

specify and attach

o TRADTNG O tr,lrc. O SERVICES o oTHERS