Purchaser(s) Questionnaire Purchaser #1Full Legal Name* First Middle Last As it appears on your driver's license/passportOccupation AND Name of Employer*Please make sure to enter both your occupation AND the name of your employer/business. Pursuant to Law Society of British Columbia Rules you are required to provide details as to your source of funds as it relates to your employment. For example, if you are going to list your employment as self-employed or provide just a title such as “manager”, “investor”, “advisor”, you will need to explain the economic activity (e.g., bank loan, savings from salary, settlement funds) or action that generated your source of money (e.g., inheritance, savings from salary, life insurance proceeds etc.) and a brief description of your business or employment activities (e.g. rental income, investment income, sale of goods and services etc.Source of the funds*Please be as precise as possibleMarital StatusSingleMarriedCommon-LawDivorcedSocial Insurance Number*Home Phone NumberBusiness Phone NumberCellular Phone NumberEmail Type of ID #1*PassportPicture ID Card (i.e. Driver's License, BC Services Card)First ID - Front*Max. file size: 100 MB.Please upload a front copy of a valid government-issued picture ID. Example: Driver's License, BC Service Card First ID - Back*Max. file size: 100 MB.Please upload a back copy of a valid government-issued picture ID. Example: Driver's License, BC Service Card First ID - Passport*Max. file size: 100 MB.Please provide a valid picture of your passportType of ID #2*PassportPicture ID Card (i.e. Driver's License, BC Services Card)Second ID - Front*Max. file size: 100 MB.Please upload a front copy of a valid ID. Example: Credit Card, Driver's License, BC Services CardSecond ID - Back*Max. file size: 100 MB.Please upload a back copy of a valid ID. Example: Credit Card, Driver's License, BC Services CardSecond ID - Passport*Max. file size: 100 MB.Please provide a valid picture of your passportAre you a Canadian citizen or landed immigrant?*YesNoCountry of Citizenship* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Are you a first time home buyer*YesNoPlease review the requirements for the first time home buyer exemption under the Property Transfer Tax Act by clicking here in order to ensure that you qualify for an exemption.Have you ever owned any property anywhere else before?*YesNoPlease note that in order to qualify for an exemption, you must not have previously owned an interest in a principal residence anywhere in the world.Date of Birth* MM slash DD slash YYYY Will you have resided in B.C. for the 12 months prior to the Completion Date?YesNoPrevious address for the last 2 years Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code How long did you reside at that addressExample: 3 years and 1 monthIs there a second Purchaser?*YesNoPurchaser #2Full Legal Name* First Middle Last As it appears on your driver's license/passportOccupationMarital StatusSingleMarriedCommon-LawDivorcedSocial Insurance Number*Home Phone NumberCellular Phone NumberBusiness Phone NumberEmail Type of ID #1*PassportPicture ID Card (i.e. Driver's License, BC Services Card)First ID - Front*Max. file size: 100 MB.Please upload a front copy of a valid government-issued picture ID. Example: Driver's License, BC Service Card First ID - Back*Max. file size: 100 MB.Please upload a back copy of a valid government-issued picture ID. Example: Driver's License, BC Service Card First ID - Passport*Max. file size: 100 MB.Please provide a valid picture of your passportType of ID #2*PassportPicture ID Card (i.e. Driver's License, BC Services Card)Second ID - Front*Max. file size: 100 MB.Please upload a front copy of a valid ID. Example: Credit Card, Driver's License, BC Services CardSecond ID - Back*Max. file size: 100 MB.Please upload a back copy of a valid ID. Example: Credit Card, Driver's License, BC Services CardSecond ID - Passport*Max. file size: 100 MB.Please provide a valid picture of your passportAre you a Canadian citizen or landed immigrant?*YesNoCountry of Citizenship* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Are you a first time home buyer?*YesNoPlease review the requirements for the first time home buyer exemption under the Property Transfer Tax Act by clicking here in order to ensure that you qualify for an exemption.Have you ever owned any property anywhere else before?*YesNoPlease note that in order to qualify for an exemption, you must not have previously owned an interest in a principal residence anywhere in the world.Date of Birth* MM slash DD slash YYYY Will you have resided in B.C. for the 12 months prior to the Completion Date?*YesNoPrevious address for the last 2 years Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code How long did you reside at that addressExample: 3 years and 1 monthJoint Tenants means that in the event one dies, the title of the Deceased’s interest will be transferred to the survivor(s) without probate. Tenants In Common means that in the event one dies, the Deceased’s interest will be probated and the interest will be transferred to the Deceased’s beneficiaries. Joint Tenant(s)*YesNoTenants in Common*YesNoPercentage of Tenants in Common for Purchaser #1*Please enter a number from 0 to 100.NUMBER ONLY. For example for 20% just type: 20Percentage of Tenants in Common for Purchaser #2*Please enter a number from 0 to 100.NUMBER ONLY. For example for 30% just type: 30Property InformationAddress of property being purchased* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Do you wish to obtain title insurance for this property?YesNoPlease click here to obtain more informationType of PropertyHouse (Single/Detached)Duplex (Attached)TownhouseCondoManufactured Home (Mobile Home)Will Property be occupied by Purchaser(s)?*YesNoCurrent mailing address of Purchasers* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country This address will be registered on titleNew home*YesNoIs GST payableYesNoCompletion Date of the Purchase MM slash DD slash YYYY Strata Management Co.Insurance Agent's NameInsurance Agent's telephone numberInsurance Agent's Email Purchaser(s) mortgage: (insert name of bank)Mortgage Broker's nameMortgage Broker's phone numberMortgage Broker's Email Real estate company’s nameExample: Sutton, RE/MAX, Royal LePage, etc, ...Real estate agent’s name:Real estate agent’s phone numberReal estate agent’s Email Pursuant to the CDIC requirements, we may have to disclose the following information from you: given name, surname, name of business (if applicable), address, and amount of funds held in trust, as it relates to funds that we hold in trust for you from time to time. By submitting this form you acknowledge the release of this information should the need arise. Once we receive your questioner, someone from our office will contact you directly.PhoneThis field is for validation purposes and should be left unchanged. Δ