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Condo Name: ELM
Possession Date: 2023-11-14

Street Address: 123%20main%20st
Unit Number: 2
City: Edmonton
Province: AB
Postal Code: T5G0X5
Country: Canada

Other:
Titled Parking: N/A
Rented Parking: N/A
Titled Storage: 123
Rented Storage: N/A

Owner Information:
Owner 1 First Name: Teresa
Owner 1 Last Name: Nguyen
Owner 1 Home Phone: 7805660673
Owner 1 Cell Phone:
Owner 1 Email Phone: teresa@convergecondo.com
Owner 1 Street Address: 123%20main%20st
Owner 1 Unit Number: 2
Owner 1 City: Edmonton
Owner 1 Province: AB
Owner 1 Postal Code: T5G0X5
Owner 1 Country: Canada
Emergency Contact Name:
Emergency Contact Phone:
Emergency Contact Email:

Owner Information:
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Owner Information:
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Rental Information:
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Agent Contact Phone:
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Renter 1 Contact Name:
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Renter 2 Contact Name:
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Renter 2 Contact Email:

Pet Information:
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Vehicle Information:
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Payment Information:
PAD Information:
Transit: 12345
Bank: 0001
Account: 1234567
Void:
Owner 1 Signature: iVBORw0KGgoAAAANSUhEUgAAASwAAABICAYAAABMb8iNAAAAAXNSR0IArs4c6QAAEMBJREFUeF7t3QewfUddB/BvQMCCBguCCooFYwFBQFFUqmVU7ImR4hCiYzAUERlsTNQMZZASGUfHjqAmIkREUHAkooBAlGIXpakUNUGKApoo6nzIrjk83/vfc98t795zfjvz5rx337nn7H5397u//bU9LVUKgUKgENgTBE7bk3pWNQuBQqAQyFjCemGS85L8bWFWCBQChcBJITCGsG6V5M9bBX8/yUVJfvOkKlzvLQQKgfkiMIawoPNRSc5Mcm6SOyZ5ZZJ/S3L/JH83X/iq5YVAIbBNBMYS1rBOd23bw29pHyKspyb54W1WvN5VCBQC80PgOIQ1ROn8JAjsrIHUdbf5wVgtLgQKgW0gsCph9TreIsljk5C66Ll+pF230YZ6RyFQCMwEgXURVoeLtMWiqCCt30ryxzPBsppZCBQCG0Zg3YSluhT0l7ator9L4tpwJ9bjC4G5ILAJwurYfVaSb05yvyS2jM9J8pCyKs5laFU7C4H1I7BJwhrW9glJHpTkBs0d4k+S/Fojsb9ff7PqiYVAITBFBLZFWLD7oCR3SnKb5stFQf8/Sd6Q5HlJXtSu/z5FoKtNhUAhsDoC2ySsg7W9bhIuEF+d5OuSfHKS/0ryG0leleTZSf5q9SbWEwqBQmAqCJwkYR3E8KZJvj7JHZJ8ZZKPT/KfSV6Q5B+bn5ffK55xKqOv2lEILInALhHWwap/WJLPS/JJTfq6dZJPT3KdJK9I8jtJfjXJfy/Z5rq9ECgE9hSBXSasoyD9lGZ9JIl9Y/Pz+sMkL27byCKwPR2MVe1CYBEC+0hYB9tkG3n3JF+S5LbNbYILxcuTvDUJMrO1rFIIFAJ7jsAUCGvYBR+a5AuTfFGzSEqN8wlJ/ibJ7ybhTkES27QejA8ag4GA8AoK3/NJUtXfHQSmRliHIfsxSRDXFye5S5LPScJCKafXHyW5LMlr19QliIp/2We35/1zk/7K2rkmgOsx80ZgDoR1WA9/ZhJKfARjO/mpSf4yyeubQv/VzbVi7OhAUPdI8uQWivToJN/RPPw/f+xD6r7ZIGC88Ufkh+iHIek15cazuP/nSliHIUP/hcBIYJIUIjT4vLTpwejD/mJAZAbZdzZLphAkPmRCj1gvuWEYiNJK/8zibqg79ggB7jfGxentSnInsYviuHEbN/6+XnOWtiCuUoy5Hg1iTNkNcLb2Dkk0f2GVh+/bd4uwTt1jH962kgjsjCSf0RT7yOnqJHRm/5Tk6UmeleQP2uMuTPIRSR66bwNixvXl90d9gBQsXgjJZx+X5EOSkMp9hiSubGQFrn9I8sZDcPuPZvg5LqTm5hc0IvQMfxuHiLEXLj/GHemsL4ySDUw2J10R1nLDiSXyKW0LaZUjff1LE+9v0vzFPrgp9d+c5IqWDx/B8d5/eyM6q2aV7SBAfymDCHcY5IOQRFUgoxs1iUhNrhpsyegckdI7kvxpqyaVgc92tWjXd7W2/lBz/XnGrlb2uPUqwhqHnJX3kW1AsDA+ovl8Hfz2OS3PvQGj0FN8ZBJOsPzGFMTGcvm+JG9LcnnbPrysrd4miclhJSelkeT8vGVcVWd1FxKC5e2b9EMCIfWShm3dlHc26/B7B7nZYOtcAoVEMpVyzyT3aRIWov2KqTSst6MIa3GP/mKLd3xXIy3e9YeVeyf50ZYH7HWLH/v+Oyhfb57k+s0NoxOaracVs/cPCQHR+YxPGQL0OzcNE5I+w70CzP+6SXKe5W+OtHzRhn3tu8NJO7K6/3eb+tny0ON5h2fZPpMk/SANEoutVK+z35Xu2Nu/2+sFA+1Q/K9//tFtq4acbtakI4tAjz1FPCRZ7aZntKAgJxZgdYKv53bltqsAezom73hPq69r1z31xQLW2um5mygkPj8Wr46NusPKIgVLRV2NP/W9ZZKPbWPGgvblDRdRIbanxqAQNq48xgxL9WRKEdbRXUkB/xMtNOiXWgbVo7zov7Xde+dGItsaIBS+CGNYZH0dFhPWZD9YSCEmi2JS2sq+u5GFiWpidwIyTkxmE50eB1EOsRiS63HbjqQQsUlognoPwvFsZKJOrj5DYkcVdUQAfjzjOBLUsD2ka++DMxJGxgo8+kKh7p2Qx7ZfW9SRqmBM0TdUCQw63tXfZ/uKsEng3T3HGJCH7nZNxzUZX8AirMOHyvcneUySi5NwUTiVHxVHVRKMMCGZJqosRsB2jRVWYkd6QVs6UhOpgGOvyUlCOg7ZLH77dO+4VxuzWug0KxEfvz4lHIuw/v/g/ek2gR4+oqNNMluRpzW91iangr763LbdsX2yFSSNkI7oboj/pIC+tbL6+50k1CUlUgopwWDmc2abYaV2JY14Vt/aaQtpgvTAMqWddG7LFFIqHzXbFbom5KRerGqMEqxbyN71Tcs8uO79AAQ+Mcm3JbkgCRWGY/cmSfZFWB848onOFJddQb5oXlzSXB1MyK5vOOw7tmUU8HQjSIOvFyW7yWtb5zOT2fYDObBeueeo8meNXOg7FhWZLUgynn1UUY+uRznsHls04U7D4jRwJON/dCe2lLaenkU3h+iQnC0PIwJSmuQkWtQBG/q/cWJRJVVZFCwA4mq7MWFDrz3ZxxZhXYu/035IF5TnY2INnXr9s41Y+paR/w79AanmS5uOCPl1nYgThOguFNjfsJEYaambz+lgWA6HRSA36eekCikM4UrvQ9mNoEl78NJW7hpM/iYNwmIkQODdh4luSvtIcu43qdzHLYQ+jGW0yjgEPq05JN+3YUiiMj7orywiky5FWNd271e1NM30J4sKaxWp4ceaF/LXNgUnnyzk40pB6moQkYhM6l0vYi07Ebny3CYBKqQjhINg6Jf4oZGaxpZuDCDt+enGAORn6yk4HaF7vnctu/0cW499vY9l0LkID2u4O0aPjmpWpQjrmu4mARkAi6wplMVnJ/nepvOxHUJQ9DC/3JTup9pa7cLg4j1N4c1xklMliYnSW0EYwkCQMcsTyXEbZEu/RTrtkhuS9H5Sr/evM0B9F/pgmTpYSC9q0q2wr0cleckyD5jSvXMnrJ5dwYGvSOio8jUtmNngoZvpueeF5DhAo2/zdmVsUMJSxJNkmLaRE5cLxdaBwt22k8Qk0Nt2bde2Zbaf9HhIVTwevR7jBoW9rSTz/pQLg8rvNUmUpRppW0hmXeZOWFwSDH6n+VCCDwsL2w+2gGaThRTFmY+EYuu0Cyda0yv5IaEgKJObtZAlkLJb27qktOuhJYsmorg50i2doFg5Cn0SmKuUPlPKNGuMPa5J/k6XEq9a5YD38xwBoVcx6J/YfH/oTqzsLC/+Z7LTE3B1QFC2jsRzeoRtFkRkolJm2y4hWopsymte2KQmeiXuCnPIvcUiycOb9OjEJdvJTlyU0HDYx6KPv6cRs8Xy8Qusz/vYxpXqPHcJCzlxVjxYEJfMC0OdFgX7uc33aSXQT/FlOjLkRJog9cmlxderExILorqRnv51U5XYw+fSJTJ8ODKOaZ/BQ+DvT+1Jemz1/4H2w9HzwWV0OHwUzp2whqh0K1bfQh1EbKxifux8Z2kkIXB/oEsTKkPh3R0qbeeQaZ2MPRbRa+7jn0RfJwj4y1rqHzo6zpQ9dfVyT9zs3cYAXaht37cfsYButgZ79PQirHGdRdKSgYHu5DjOj6QmA7MfW0bfhIgQ0qVJBEtXyplxfbHMXbbQZzVnYHhblPiL7UK+KMYbJMqfigPok5rKYZn2ze7eIqxxXU6HRRFKwX2qYvvGZYDnsSui8jvTvFXelV/WLijsx7V8WndRzD+g6SyRBYdL7ijbLqIa6No4DstW2xM/brsee/e+IqxxXSa8xRZNCuReOFZS9nIhoG+iMIUn5beJwOzue5MOlRgH387dhSSQxc+3fttWH1n0vPv8JM9N8t0VQ7nc2CjCOjVeQksocX+yWRMpvUlNSIqbA58gPk3ITJYB/6+yPwjYLnKJ2OQ8IGmzaH5Di8cUdykbSJ1afoxxssmOOkZ1TuQrCEhgsOBeWwZOit1aJ34PIdnW0TEgJXonJvQq00CAfpJD8M+1hWcdukQJDin9SVL0aArLrvxqCHJM+Nc00F1zK4aEZZJOyUGNrw7ltjZa5Qwc8WuCRwXtUoIr3dsbMbHQcSGQDK0r17vCvch9zYNvhx5HR+lYNsYPYS8C25ct1AOS5vELE+4kZOvZjaCoCSo2cllED7l/OAl1lJNBntmS1hFdd7XQF8n9xExt28aUTY+kICeBoko/pn6YDaETUU8vvKiNHEtZl4qwFiG1//9nCbZAvSjJb7cwLAufbBUiHwRp+zHexIxKF2ThQ1AMLtIEmT+/kuT5C1L27D9aJ9CC4SQkdVACiqnjyKbjZBugnKRAlvtIB/l9U3miDQ65lITCGAjq1KUk2zLZA3xma2bADImI9U19hyedrAPSIqx1oLg/z5A5luVwTMpjMaUMLJT2pCljpcoGEThKatBhAn6JyAc9qhGKYF8dJQTCke/SjIxROAvClR+b+Cy4UwwcB0r+SfRIpCaSj0KRbcViabPnJ1KvQ7+wLJxFWMsiNs37xWjagSiciElhrlW2iMCptjnf1FKuUjBTHg7zOVl9SD4IhyREHKYD6uluSUPCS8S7UWb3bRodUZeKXLv+aJhAf4vNH/WqVZ1GR72kbioECoHFCIzRyzDrC8jks0LsPSoNCfISlEvxSAIjdblykpTCBDntY+kB0rbL4gmrFAKFwAkhMIawetVIXKxsdEesiZM7VfaIPpDczrb0vMFx4CfUXfXaQmDeCCxDWEOkHjhQNs4BQYQlJTAv5SqFQCFwQggcl7AkFbNFoseaQynF+xx6udq48wgcl7A0jCVRviY5paZeegjHmLzvU8ei2lcInBgCqxCWStsqOcb9ySfWgu29uKSs7WFdbyoEDkVgVcISziCsYdXn7EP3dCmLf5jA1R/fh0pXHQuBKSGwKtEgLJHnUtPOIZe4vr+45XyngJ+LpXRKY77asscIrEpYotyfkOTMGRGW7hYgzQl2FzJX7vHwq6oXAsshsCpheZuAUcHIQnnmUvp5hgJdFx2+OhdMqp2FwMYRWAdhqSTvd4cpbCtz48aBGfECp5zcc5AlYsRX6pZCoBBYBYF1EZZTP8QczkXacKSUE05cqxQChcCWEFgXYc0pyZ2MkXRXt2yB3FvqqnpNIVAIrIuweL5f0hKZ7eupu6caDRck4TSqSAD40HYKTo2gQqAQ2CIC6yKsc5I8ZSL+WBTq8rqzgDoZhzR1drOClhvDFgdnvaoQOIjAugirbwnlwdo3fyzGAucNiot0XpyDJ5xZR5I6zqGpNcoKgUJgQwisi7B6zigSyK5mNDi9ZTqVs0sqZqlwJRbkU/Wsls30siRv3RDW9dhCoBBYEYF1EZZqPDbJ9yW5sPlmrVi10V9HPv2UEvnekZDc79Iuy4QqJbOcVrKfkpg4fMqO6tCNl7Ukg6NfVjcWAoXAySGwTsJ6eJLHD5pia+jkEVcHV8g4Kje702/lc5fAH9lQ0l/Z8rk7mUSe7DOaFU793Hd1Ejm1JRDsv/vb/fLAX9EkIzngnRsowaD3+lxBTFedHMz15kKgEFgHAuskLM8i1TiY1Llucrkf9vz3tqOSxtb/8nbABd2S35X+2ZCUxj6v7isECoE9RWCdhHUQAtIQa5vtWs/t7mSdTjp7CllVuxAoBE4KgU0S1km1qd5bCBQCE0WgCGuiHVvNKgSmiEAR1hR7tdpUCEwUgf8FgoMPdgKoCKMAAAAASUVORK5CYII%3D
Owner 1 Name: Teresa%20Nguyen
Owner 2 Signature: N/A
Owner 2 Name: N/A

Cheque Payment:
Electronic Consent: No

Void Check

Signature 1

Signature 2

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