Clerk�s Stamp - DOC

							                                                                                           Land Titles Act
COURT FILE NUMBER
                                                                                                       Clerk’s Stamp

COURT                               Court of Queen’s Bench of Alberta

JUDICIAL CENTRE


PLAINTIFF


DEFENDANT



DOCUMENT                            Certificate of Lis Pendens

ADDRESS FOR SERVICE
AND CONTACT
INFORMATION OF PARTY
FILING THIS DOCUMENT




       THIS IS TO CERTIFY that in this action a claim has been made to enforce an interest in
land or some title or interest in land is called into question, as follows: (here give particulars of the
claim, and include registration particulars of any registered instrument or caveat affected by the action)




in respect of the following land: (here describe land by indicating the legal land description)




                                                        DATED at                                             , Alberta,
                                                                      City / Town / Municipality

                                                        on                                    , , 20         ..
                                                             Date




                                                        Clerk of the Court




Certificate of Lis Pendens – Land Titles Act                                                               November 2010