Alberta Employee Statutory Declaration re Purchase of Syndicated Mortgage Units

Use this form to prepare Statutory Declarations for employees of a company which is party to a syndicated mortgage transaction in Alberta, to allow the employees to purchase mortgage units.

• The employee must provide the issuer with the Statutory Declaration in compliance with Securities Act regulations.
• The Declaration states that the employee is not required to purchase the units as a term of his/her employment, and that s/he has read the offering memorandum for the syndicated mortgage offering.