Status Certificate Request Form

(Put NA in the field If the information is not available)

Re-finance ONLY

Vendor (current owner) Name: *

Address: *

City: *

Postal Code: *

Telephone: *

Condo. Corp. Number:

Vendor Lawyer Name: *

Telephone: *

Legal description (if known) along with parking and locker numbers (if applicable):

Purchaser Name: *

Telephone: *

Purchaser Lawyer Name: *

Telephone: *

Fax:

Closing Date: *

Real Estate Agent Name (if applicable): *

Telephone: *

Fax:

Contact person and phone number:*

Email address to which to send completed status: *

* Denotes mandatory fields

If you have any further questions, please contact call us at 416.620.5696

The $100.00 payment can be send via e-transfer to statuscertificate@zoranproperties.com along with a second email to that same email address with the password.

RUSH SERVICE: Rush service has a 3 business day turnaround time and the fee is $200.00.