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PROTECTED A (WHEN COMPLETED) FORM 8 DECLARATION OF TRANSMISSION Note: The "Name of vessel" and "Port of registry" are not required for vessels in the Small Vessel Register. Official number Port of registry Name of vessel Telephone number Full name and address Cell number Fax number Certificate in (select one): E-mail address English French DETAILS OF TRANSMISSION - DECLARE AS FOLLOWS (select one) INDIVIDUAL I am a Canadian citizen or a permanent resident within the meaning of Subsection 2(1) of the Immigration and Refugee Protection Act. CORPORATION A corporation incorporated under the laws of Canada and existing as per those laws at the time of this application. A corporation incorporated under the laws of a Province and existing as per those laws at the time of this application. Note: Partnerships are not accepted. FOREIGN CORPORATION A vessel that is owned by a corporation incorporated under the laws of a country other than Canada. INDIAN BAND An Indian Band registered with the Department of Indian and Northern Affairs. The Individual, Corporation, or Indian Band is entitled to be registered as: A In the case of transmission of registered owner's interest (select one): of shares ¹ of shares ¹ Insert owner, executor, administrator, trustee or receiver as appropriate Insert joint owner, joint executor, joint administrator, joint trustee or joint receiver as appropriate B In the case of transmission of registered mortgagee's interest (select one): Mortgagee of shares ¹ Joint mortgagee of shares ¹ ¹ 64 shares represent 100% ownership of a Canadian vessel. Full name and address of authorized representative The shares in the vessel described above have been transmitted in the following manner (select one): on death on bankruptcy by lawful means other than a transfer under the Canada Shipping Act, 2001 State the manner in which the property has been transmitted 84-0027E (1407-08) Page 1 of 3 PROTECTED A (WHEN COMPLETED) FORM 8 Official number Port of registry Name of vessel INDIVIDUAL Signature DECLARED BEFORE ME AT Place Date Declaration signed (dd-mm-yyyy) Signature Name and title (Print) Address CORPORATION state that I have authority to bind I . Name and title (Print) Name of corporation (Print) I also state that is the name of a corporation which legally exists at the date of this Declaration: Name of corporation (Print) as per the laws of Canada; OR as per the laws of . Name of province/state (Print) This Declaration must be signed by any Officer or Director of the corporation who has the authority to bind the corporation. Pursuant to Sections 51(2) and 75.01 (2) of the Canada Shipping Act, 2001 applicants may be required to provide additional information as requested by the Chief Registrar. I understand that it is an offence for a person to knowingly make a false or misleading statement in writing and that the penalty can be a fine or imprisonment or both if found guilty in a court of law (Section 37 of the Canada Shipping Act, 2001). Signature of Officer or Director DECLARED BEFORE ME AT Place Date Declaration signed (dd-mm-yyyy) Signature Name and title (Print) Address INDIAN BAND Signature Name of Indian Band (Print) SEAL Name of person signing above (Print) DECLARED BEFORE ME AT Place Date Declaration signed (dd-mm-yyyy) Signature Name and title (Print) Address 84-0027E (1407-08) Page 2 of 3 PROTECTED A (WHEN COMPLETED) FORM 8 NOTES 1. If there is more than one owner, whether individual or joint, a separate Declaration must be completed by each owner. 2. If the transmission is consequent on death or bankruptcy, the Declaration of transmission shall be accompanied by the document required by subsection 72(1) and 73(a) of the Canada Shipping Act, 2001. 3. Qualifications to own a vessel registered in Canada are set out in the interpretation section of the Canada Shipping Act, 2001. 4. Declarations must be made before a Justice of the Peace, Commissioner for Oaths, Consular Officer or any other person authorized by law to administer oaths in the province or territory of Canada or country where the declaration is made. 5. In the case of an Indian Band, this Declaration must be made by person(s) authorized by Band Council Resolution OR by affixing the seal of the Indian Band on this form. The information you provide on this form is collected by Transport Canada for the purpose of registering your vessel. It is collected under the authority of Section 43 of the Canada Shipping Act, 2001. The registration of your non-pleasure (commercial) craft is mandatory unless it is registered in a foreign state. The information will be held in the Department's Personal Information Bank entitled Canadian Register of Vessels (bank number TC PPU 041). The information will be retained for 5 years after vessel is deregistered and then destroyed. Your information will be handled in accordance with the provisions of the Privacy Act. Instructions for obtaining your personal information are provided in Info Source, a copy of which is available in major public and academic libraries or on line. Please note that under Section 76 of the Canada Shipping Act, 2001, a person may examine or obtain copies of any entries in the Register with respect to a vessel. 84-0027E (1407-08) Page 3 of 3