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is hereby withdrawn and discharged as against the aforesaid lands, the within proceedings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