Form Reg 3183 – Fill Out and Use This PDF

Form Reg 3183 is an important component of business documentation and requirements. It must meet detailed specifications for official records and retains many necessary features for compliance. Understanding each component of the form ensures that businesses are in line with official processes when taking proper actions and decisions in their management tasks. Form Reg 3183 provides needed coverage in contracts, security techniques, financial transactions and a variety of other processes. Being fully aware of the details and capabilities included on this form can prevent significant problems down the road relating to finances or even legal implications associated with engagements ongoing or concluded by businesses. Taking the time to ensure Form Reg 3183 is properly formulated can save countless hours, energy, money, and resources later on.

Form Reg 3183 PDF Details

The Financial Crimes Enforcement Network, or FinCEN, released a guidance document on February 2, 2018, concerning the new Form Reg 3183. This form is used to report any ownership interests in cryptocurrency businesses. The document lays out FinCEN's expectations for who must file the form and provides information on what types of entities must complete it. The release of this guidance is part of FinCEN's effort to ensure that businesses involved in cryptocurrencies are operating in compliance with federal regulations.

Question	Answer
Form Name	Form Reg 3183
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	what is a statutory declaration, 2011, application for authorization and statutory declaration pdf, authorization and statutory declaration form

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		FORM A
	Land Titles	STATUTORY DECLARATION
	Land Titles	Re Proof Of Death
		Re Proof Of Death
I,			,

Full Mailing Address

Occupation

DO SOLEMNLY DECLARE THAT:

1.I am one of the registered owners of (legal description)

(LINC number:	).
being the land described in Certificate of Title number

registered in

my name and the name of

as Joint Tenants.

2.Attached to this declaration is an official record, to be retained by Land Titles, of the death of

who died at			in the Province of
on		, and was the same person as the joint tenant named above.
	month / day / year

(Attach a Death Certificate issued by Vital Statistics or by a comparable authority if the death occurred outside the Province of Alberta).

3.I request that the Certificate of Title be amended to delete the name of the deceased joint tenant.

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.

Declared before me at		)
		)
In the Province of		)
		)
		)		Signature of Declarant
on		)
	day / month / year

	Commissioner for Oaths in and for the Province of Alberta		Print Name	Expiry Date of Commission

This information is being collected for the purposes of land titles records in accordance with the Land Titles Act. Questions about the collection of this information can be directed to the Freedom Of Information and Protection Of Privacy Co-ordinator for Alberta Registries, Research and Programme Support, Box 3140, Edmonton, Alberta T5J 2G7, (780) 427-2742.

REG 3183 (98/05)

Please enclose a cheque or money order payable to the Minister of Finance. The completed affidavit, certificate(s) and appropriate fees can be mailed to either address:

$15.00 $15.00 per title $2.00 per title

Registration Fees

Statutory declaration re proof of death Extra title(s) affected

Certified copy of title(s)

Notarized copies of official documentation under notary seal can be accepted in lieu of originals. The legal description(s) must be provided.

NOTE: If attending the Land Titles Office and swearing the statutory declaration before a Land Titles Commissioner for Oaths, you must produce proper identification (e.g., a valid driver's license, passport or an identification card issued by Alberta Registries).

Certificates by a comparable authority in another jurisdiction.

•

APPLICATION BY SURVIVING JOINT TENANT*

Before submitting documents to the Land Titles Office, please enclose the following:

• A Statutory Declaration Re Proof of Death completed and signed by the surviving joint tenant or anyone who is acquainted with the facts. The statutory declaration must be sworn before a Commissioner for Oaths who must print his/her name and expiry date or a Notary Public who must affix his/her seal.

AND

• An original Certificate of Death issued by Alberta Vital Statistics (the original certificate will be returned).

• The original Funeral Director's Certificate (the original will not be returned, but retained by the Land Titles Office).

Land Titles Office		Land Titles Office
Box 7575	or	Box 2380
Calgary AB T2P 2R4		Edmonton AB T5J 2T3

If you have any further questions, please call or visit at:

Alberta Government Services Bldg.		John E. Brownlee Building
2nd Floor, 710-4th Avenue SW		10365-97th Street
Calgary AB T2P 0K3	or	Edmonton AB T5J 3W7
(403) 297-6511		(780) 427-2742

* The above information is only a guideline and is not intended as an exhaustive listing

JANUARY 2011

Form Reg 3183 – Fill Out and Use This PDF

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