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THIS MORTGAGE dated as of the day of, 20. The Parties to this mortgage are: Mortgagor AND:, a body corporate, whose address is Mortgagee AND: Spouse of the mortgagor (if spouse not a mortgagor) AND: Guarantor 1. MORTGAGE In return for our making a loan to you in the amount of ($) Canadian dollars (called the Principal Amount) which you acknowledge having received from us, you hereby give us this mortgage on the property described as follows [called the Property]: * * If space is insufficient to type description of your property in this paragraph, attach Schedule A describing the property and type in above space "See attached Schedule A". Page 1 of 6

By this mortgage, you grant, convey and release to us, our successors and assigns, all your right, title and interest, estate, dower and right to dower and other claims both in law and in equity to the Property. Any buildings on the Property and anything now or later attached or fixed to the buildings or your property including additions, alterations and improvements are covered by this mortgage. To have and to hold the lands and the appurtenances for us, our successors and assigns. 2. HOW YOU WILL REPAY YOUR LOAN WITH INTEREST You agree to pay to us the Principal Amount with interest thereon as well after as before maturity and both before and after default at the rate of * percent (%) per annum calculated semi-annually, not in advance (the Interest Rate ), computed from the date the Principal Amount, or any part thereof, is advanced on so much of the Principal Amount as shall from time to time remain unpaid until the whole of the Principal Amount is paid. The Principal Amount and interest shall become due and be paid as follows: (i) Interest shall accrue from the date of advance hereunder and shall be due and payable on the day of the month next following the date of the first advance (the Interest Adjustment Date ); (ii) Thereafter, the Principal Amount and interest, as aforesaid, shall be payable by equal consecutive monthly instalments of principal and interest of ($), commencing on the day of the month next following the Interest Adjustment Date and thus to continue monthly on the day of each month to and including the day of,; (iii) The balance, if any, of the Principal Amount and interest thereon, as aforesaid, and any other moneys owing under this Mortgage shall be due and payable on the day of,, (the "Balance Due Date"); * If adjustable rate, insert Prime Rate plus or minus [as applicable] the percentage. 3. ADDITIONAL TERMS AND COVENANTS The terms, conditions and covenants set out in the Standard Charge Mortgage Terms and in the Additional Provisions, both appended hereto are incorporated and form part of this mortgage. Terms used in this mortgage which are defined in the attached Standard Charge Mortgage Terms have the meanings set out in the Standard Charge Mortgage Terms. 4. CONSENT OF SPOUSE By signing this mortgage each spouse of a mortgagor consents to this mortgage and releases any interest which he or she may have in the Property covered by this mortgage as far as necessary to give effect to our rights under this mortgage. 5. SIGNING THIS MORTGAGE If you have read this mortgage and you agree to its terms, sign in the space provided for your signatures. Witnesses must sign in the spaces provided for the witnesses signatures. SIGNED AND DELIVERED in the presence of: (Witness) (Borrower) (Witness) (Borrower) (Witness) (Spouse of Borrower) Page 2 of 6

(Witness) (Guarantor) (Witness) (Guarantor) Page 3 of 6

CERTIFICATE OF ACKNOWLEDGEMENT OF WITNESS On,,, a subscribing witness to the foregoing mortgage personally appeared before me. The witness having been duly sworn by me, made oath and said that: CHECK ONE BOX: [ ]the party (parties) to the mortgage did sign, seal and deliver it in his/ her presence. [ ], caused the mortgage (name of corporation) to be executed in its name and on its behalf and its corporate seal to be thereunto affixed by its proper officers in his/ her presence. A Barrister of the Supreme Court of Nova Scotia * A Notary Public in and for * Where acknowledgement is taken outside Nova Scotia, it may be taken before a Notary Public in and for the place where taken. If so, he must impress his official seal here. Page 4 of 6

AFFIDAVIT OF STATUS FOR COMPANIES I,, of, in the, Province of Nova Scotia, make oath and say as follows: 1.THAT I am the of (the COMPANY ) and as such have a personal knowledge of the matters herein deposed to. 2.THAT for purposes of this my affidavit MATRIMONIAL HOME means the dwelling and real property occupied by a person and that person s spouse as their family residence and in which either of them have a property interest other than a leasehold interest 3.THAT for the purpose of this my Affidavit, spouse means two people who: (i) are married to each other; (ii) are married to each other by a marriage that is voidable and has not been annulled by a declaration of nullity; (iii) have gone through a form of marriage with each other, in good faith, that is void and are cohabitating or have cohabited within the preceding year; or who are party to a registered domestic-partner declaration made in accordance with Section 53 of the Vital Statistics Act but does not include a former domestic partner. 4.THAT the Company is not now, nor will it be on the date of delivery of the foregoing Mortgage, a non-resident of Canada within the meaning of the Income Tax Act (Canada). 5.THAT the lands described in the within indenture are not occupied by any shareholder as a matrimonial home nor is any shareholder entitled to use the lands as a matrimonial home and the lands have never been so occupied while the lands have been owned by the Company. 6.THAT I have executed the foregoing Mortgage on behalf of the Company in the above official capacity and have authority to do so and confirm that my signature binds the Company. 7.THAT this acknowledgment is made pursuant to s. 31(a) of the Registry Act, R.S.N.S. 1989, c. 392 and s. 83 of the Land Registration Act, S.N.S 2001, c. 6 for the purpose of registering the instrument. SWORN TO at, ) in the Country of, ) Province of Nova Scotia, this ) day of, A.D., ) before me, ) ) ) ) ) )Per: A Barrister of the Supreme Court ) of Nova Scotia ) Page 5 of 6

Powered by TCPDF (www.tcpdf.org) MCAP Nova Scotia AFFIDAVIT OF LEGAL AGE AND SPOUSAL STATUS I/We,, of, in the of, make oath and say: 1.THAT we have executed the attached Mortgage and are of the full age of nineteen (19) years or older. 2.THAT we are now, and intend to be at the date of closing, residents of Canada within the meaning of the Income Tax Act (Canada). 3.THAT for the purpose of this our Affidavit, spouse means either of two people who: (i) are married to each other; (ii) are married to each other by a marriage that is voidable and has not been annulled by a declaration of nullity; (iii) have gone through a form of marriage with each other, in good faith, that is void and are cohabitating or have cohabited within the preceding year; or who are party to a registered domestic-partner declaration made in accordance with Section 53 of the Vital Statistics Act but does not include a former domestic partner. 4.THAT as of the date hereof, we are the spouses of each other and have no other spouse as defined herein nor any former domestic partner with the rights contemplated by Section 55 of the Vital Statistics Act or any former spouse with rights under the Matrimonial Property Act.[OR: insert other applicable statement] 5.THAT we acknowledge that we executed the foregoing instrument on the date of this affidavit. 6.THAT this acknowledgment is made pursuant to s. 31(a) of the Registry Act, R.S.N.S. 1989, c. 392 and s. 83 of the Land Registration Act, S.N.S 2001, c. 6 for the purpose of registering the instrument. SWORN TO BEFORE ME, at ) Halifax, Province of Nova Scotia, ) this day of, ) before me, ) ) ) ) ) ) A Barrister of the Supreme Court ) of Nova Scotia ) Page 6 of 6