STATUTORY DECLARATION

CANADA	) In the matter of need to reside eligibility

)

Province	) Block Lot , Unit Parcel	)

of	) Plan , National Park

)

Alberta	) hereinafter called “the Property”,

To wit:

I, , of the Town of in the Province of Alberta,

Do Solemnly Declare as follows:

1.	I am the Lessee of the Property.

2.	I am aware of the eligible resident requirements and the Minister’s authority to request evidence regarding eligible resident status as quoted in the National Parks Lease and License of Occupation Regulations (1991), excerpted as follows:

“eligible resident” means:

(a)	an individual whose primary employment is in the park;

(b)	an individual who operates a business in the park and whose presence at the

place of business is necessary for the day-to-day operation of the business,

(c)	a retired individual who resides in the park and who, for five consecutive years immediately prior to retirement:

(i)	was employed primarily in that park, or

(ii)	operated a business in that park, and whose presence at the place of	business was necessary for the day-to-day operation of the business,

(d)	a retired individual who resided in the park at the time of the individual’s retirement and who resided in that park on July 30, 1981,

(e)	an individual who is a student in full-time attendance at an educational institution that is located within the park and registered under the Income Tax Act or applicable provincial legislation relating to education,

(f)	an individual who is a lessee of those public lands in the park and who

(i)	was the lessee of those public lands prior to May 19, 1911, or

(ii)	is a descendant, by blood or adoption, of an individual who was the	lessee of those public lands prior to May 19, 1911, or

(g)	the spouse or a dependant of an individual referred to in any of paragraphs (a) to (f).

For the purpose of the definition “eligible resident” and subsection (b) “business” means a business that is licensed under the National Parks Business Regulations or under a by-law passed by the Corporation of the Town of Banff.

A lessee who has been granted a lease of public lands pursuant to paragraph 3(1)(a) or (c) of the National Parks Lease and License of Occupation Regulations (1991) shall, on the request of the Minister, provide to the Minister evidence, by way of affidavit or solemn declaration that each occupant of the leased public land is an eligible resident.

3.	The Property is occupied by:

4.	All of the occupant(s) of the Property is/are eligible residents (as that term is defined above) by virtue of:

And I make this Solemn Declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath, and by virtue of the Canada Evidence Act.

DECLARED before me at the	)

of	)

in the Province of Alberta	)

this day of , 20	)

)	______________________________	)

_______________________________	)

Commissioner for Oaths/Notary Public	)

in and for the Province of Alberta	)

Form 54120 (10/04)	Page 1 of 2

54120 Form - Statutory Declaration - Leased Land - National Park (Jasper)

e12504

2004-10-09

Alberta Treasury Branches