Commission de protection du territoire agricole – 2018/08

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Act respecting the acquisition of farm land by non-residents • Application form for authorization to acquire farm land by a natural person who does not intend to settle in Québec or by a legal person

Note: If you are a person who intends to settle in Québec, you must fill out the form “Application form for authorization to acquire farm land by a natural person who intends to settle in Québec”.

Réservé à la Commission

The applicant must ensure that the intended use of the farm land is in accordance with the provisions of the Act respecting the preservation of agricultural land and agricultural activities. If it is not, a separate application for authorization must be completed using the form provided for that purpose and sent to the Commission. For more information, see the “Lois et règlements” section of our website at www.cptaq.gouv.qc.ca.

The pictogram• refers to the “glossary” section of the form.Definition of “resident”: For the purposes of this Act, a natural person is resident in Québec if the person is a Canadian citizen or a permanent resident within the meaning of the Immigration and Refugee Protection Act (S.C. 2001, c. 27) and has lived in Québec for not less than 1095 days during the 48 months immediately preceding the date of acquisition of farm land.

For the purposes of this Act, a legal person is resident in Québec if it is validly constituted, regardless of the manner or place of its constitution and:

1- In the case of a legal person with share capital, more than 50% of the voting shares of its capital stock are owned by one or morepersons resident in Québec and more than one-half of its directors are natural persons resident in Québec;

2- In the case of a legal person without share capital, more than one-half of its members are resident in Québec; and

3- It is not directly or indirectly controlled by one or more non-residents.

1 APPLICANT • 1.1 Natural person Check if there is more than one natural person and continue by filling out appendix 1

1.2 Legal person with share capital • Enclose the constituting documents of the business Check if there is more than one legal person and continue by filling out appendix 1

Surname and given name, in block letters Occupation Area code Telephone Nº (at home)

Number, street, apartment, P.O. box Citizenship Area code Telephone Nº (at work)

Extension

City, town, village or municipality Province Country Postal code Area code Telephone Nº (cell/other)

Email Area code Fax number

Number of days you lived in Québec during the forty-eight (48) months preceding the date of the application

Surname and given name, in block letters Place of its constitution Law governing it

Number, street, apartment, P.O. box (head office) Area code Telephone Nº (at work)

Extension

City, town, village or municipality Province Country Postal code Area code Telephone Nº (cell/other)

Email Area code Fax number

Specify the percentage of the voting shares of your capital stock owned by one or more non-residents %

Indicate the total number of directors and the number of directors who are non-residents

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1.4 Mandatary • or name of a resource person • Check if there is more than one mandatary and continue by filling out appendix 1

2 OWNER • 2.1 Name of the owner of the farm land Check if there is more than one owner and continue by filling out appendix 2

Identify the municipality or municipalities concerned in which the lot(s) is/are located.

Number of lot(s), range(s), cadastre(s)

Total area • of the property: hectares Area• concerned by the application: hectares

2.2 Location of the farm land • Enclose a photocopy of the land title

1.3 Legal person without share capital• Enclose the constituting documents of the business Check if there is more than one legal person and continue by filling out appendix 1 Surname and given name, in block letters Place of its constitution Law governing it

Number, street, apartment, P.O. box (head office) Area code Telephone Nº (at work)

Extension

City, town, village or municipality Province Country Postal code Area code Telephone Nº (cell/other)

Email Area code Fax number

Indicate the total number of members and the number of members who are non-residents

Surname and given name, in block letters Area code Telephone Nº (at home)

Name of legal person, if applicable Area code Telephone Nº (at work)

Extension

Number, street, apartment, P.O. box Area code Telephone Nº (cell/other)

City, town, village or municipality Province Country Postal code Area code Fax number

Email

Surname and given name, in block letters Occupation

Number, street, apartment, P.O. box Area code Telephone Nº (at work)

Extension

City, town, village or municipality Province Country Postal code Area code Telephone Nº (cell/other)

Email Area code Fax number

Commission de protection du territoire agricole – 2018/08

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Commission de protection du territoire agricole – 2018/08

2.3 Description of the farm land concerned by the application • List the current use(s) of the farm land and indicate the area of each use, if applicable.

Describe all existing constructions and structures on the farm land (houses, buildings and any permanent structure). Include this information in the plan required. For more details, refer to the “Example of a plan” section.

Existing building(s)/structure(s) Date of construction (year/month/day)

Current use Date of introduction of

the current use (year/month/day)

List your production costs, quotas and livestock.

Production costs• Quota(s) Livestock

2.4 Information required to assess the application

In examining an application, the Commission takes into consideration:

Section 15 (Act respecting the acquisition of farm land by non-residents)

• The biophysical conditions of the soil and of the environment, to determine whether the farm land that is the subject of the application is suitable for the cultivation of the soil or the raising of livestock.

• When the applicant is a legal person or a natural person who does not intend to settle in Québec, section 15.3 of the Act respecting the acquisition of farm land by non-residents limits to 1000 hectares per calendar year the area suitable for the cultivation of the soil or the raising of livestock for which authorizations concerning farm land may be granted. For more information on the files being processed, consult the home page of the website at www.cptaq.gouv.qc.ca.

Section 16 (Act respecting the acquisition of farm land by non-residents)

• The intended use, in particular the applicant’s intention to cultivate the soil or raise livestock on the farm land that is the subject of the application;

• The impact of the acquisition on the price of farm land in the region;

• The effects of the acquisition or projected use on the economic development of the region;

• The development of agricultural products and the development of underutilized farm land; and

• The impact on land occupancy.

Indicate the cost agreed upon for the acquisition of the farm land, distinguishing the cost for the acquisition of the parcel of land, the cost of the buildings, the cost of the equipment, etc. If an offer to purchase or a promise of sale has already been signed, please enclose it with your application. If you need more space, enclose an appendix.

Parcel of land Building(s)/Structure(s) Equipement Livestock Quota(s) Other

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WARNING: The file will be opened upon receipt of a complete documentation. A file that is incomplete due to the omission of certaindocuments and information will be returned to the sender.

Please enclose any additional information with your file.

Commission de protection du territoire agricole – 2018/08

Please indicate the intended use(s) of the farm land and the areas• devoted to the use(s).

If you are of the opinion that the farm land is not suitable for the cultivation of the soil or the raising of livestock due to the biophysical conditions of the soil and of the environment, please indicate the facts in support of your contention.

3 SIGNATURE

I declare that I have taken cognizance of the information provided in this form and that that information, the appendices and the documents enclosed are accurate and complete.

Surname and given name, in block letters: Applicant

Mandatary

Made in Date: Signature Y M D

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4

Section 13 (Act respecting the acquisition of farm land by non-residents)

AFFIDAVIT •

I, the undersigned:

residing at Street number City, town, village or municipality Province Country Postal code

being duly sworn

or, as the case may be, making the solemn affirmation to tell the whole truth

declare:

1- That the information provided in the enclosed form is true;

2- That the reasons for the acquisition of the farm land described in the enclosed form are as follows:

3- That the intended use of the farm land described in the enclosed form is as follows:

Made in Date: Y M D

Signature

Name of the person authorized to take oaths or solemn affirmations (in block letters)

Title

Made in Date: Y M D

Signature

Commission de protection du territoire agricole – 2018/08

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Commission de protection du territoire agricole

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Commission de protection du territoire agricole – 2018/08

APPENDIX 1: IDENTIFICATION OF THE APPLICANT

1 APPLICANT • 1.1 Natural person

1.2 Legal person with share capital • Enclose the constituting documents of the business

Surname and given name, in block letters Occupation Area code Telephone Nº (at home)

Number, street, apartment, P.O. box Citizenship Area code Telephone Nº (at work)

Extension

City, town, village or municipality Province Country Postal code Area code Telephone Nº (cell/other)

Email Area code Fax number

Number of days you lived in Québec during the forty-eight (48) months preceding the date of the application

Surname and given name, in block letters Place of its constitution Law governing it

Number, street, apartment, P.O. box (head office) Area code Telephone Nº (at work)

Extension

City, town, village or municipality Province Country Postal code Area code Telephone Nº (cell/other)

Email Area code Fax number

Specify the percentage of the voting shares of your capital stock owned by one or more non-residents %

Indicate the total number of directors and the number of directors who are non-residents

1.4 Mandatary • or resource person •

1.3 Legal person without share capital• Enclose the constituting documents of the business Surname and given name, in block letters Place of its constitution Law governing it

Number, street, apartment, P.O. box (head office) Area code Telephone Nº (at work)

Extension

City, town, village or municipality Province Country Postal code Area code Telephone Nº (cell/other)

Email Area code Fax number

Indicate the total number of members and the number of members who are non-residents

Surname and given name, in block letters Occupation

Number, street, apartment, P.O. box Area code Telephone Nº (at work)

Extension

City, town, village or municipality Province Country Postal code Area code Telephone Nº (cell/other)

Email Area code Fax number

Note: Copy this appendix if necessary.

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Commission de protection du territoire agricole – 2018/08

APPENDIX 2: IDENTIFICATION OF THE OWNER

2 OWNER • 2.1 Name of the owner of the farm land Surname and given name, in block letters Area code Telephone Nº (at home)

Name of legal person Area code Telephone Nº (at work)

Extension

Number, street, apartment, P.O. box Area code Telephone Nº (cell/other)

City, town, village or municipality Province Country Postal code Area code Fax number

Email

Surname and given name, in block letters Area code Telephone Nº (at home)

Name of legal person Area code Telephone Nº (at work)

Extension

Number, street, apartment, P.O. box Area code Telephone Nº (cell/other)

City, town, village or municipality Province Country Postal code Area code Fax number

Email

Surname and given name, in block letters Area code Telephone Nº (at home)

Name of legal person Area code Telephone Nº (at work)

Extension

Number, street, apartment, P.O. box Area code Telephone Nº (cell/other)

City, town, village or municipality Province Country Postal code Area code Fax number

Email

Surname and given name, in block letters Area code Telephone Nº (at home)

Name of legal person Area code Telephone Nº (at work)

Extension

Number, street, apartment, P.O. box Area code Telephone Nº (cell/other)

City, town, village or municipality Province Country Postal code Area code Fax number

Email

Note: Copy this appendix if necessary.

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Commission de protection du territoire agricole

GLOSSARY• Note: The following explanations do not constitute legal definitions. They are aimed at making the forms easier to understand and clarifying certain terms used.

Terms Explanations

Act respecting the acquisition of farm land by non-residents (CQLR, chapter A-4.1)

See the “Lois et règlements” section of our website at www.cptaq.gouv.qc.ca.

Affidavit Declaration made before a person authorized to administer oaths (for example, an attorney, a notary, a commissioner for oaths, etc.).

Applicant Natural person who makes the application.

Area

The areas concerned must be expressed in hectares. 1 hectare = 10 000 square metres or 2.92  square arpents or 2.47  acres or 107 640 square feet. 1 square metre = 10.76 square feet.

Description of the farm land concerned by the application

Indicate the current use of the land (pasture, hay, field crops, wooded area, etc.) and the area devoted to each use.

Legal person with share capital See the “Legal Forms of Enterprises” section on the website of the enterprise registrar at: www.registreentreprises.gouv.qc.ca.

Legal person without share capital S.E.N.C. partnership, non-profit organization, etc. See the “Legal Forms of Enterprises” section on the website of the enterprise registrar at: www.registreentreprises.gouv.qc.ca.

Location of the farm land Identify the municipality or municipalities concerned in which the lot(s) is/are located, i.e. the name of the municipality in which the lot(s) concerned by the application is/are located (there may be more than one municipality).

Mandatary The person you designate to file your application.

Owner Person registered in the land title for the lot(s) concerned by the application (there may be more than one person).

Production costs Refers to the whole of the expenses (direct and indirect) incurred to produce a good or service.

Resource person Representative of the legal person who is authorized to send information to the Commission in relation to the application for authorization.

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EXAMPLE OF A PLAN

The plan must show all constructions on the lot(s) and indicate the current use of the lot(s) and the whole of the property concerned by the application, as well as the contiguous lots or lots that would be contiguous were they not separated by a public road. More specifi-cally, the plan must mention the area in hectares of the lot(s) concerned and their number. It must also mention the scale used for the drawing and the date on which it was drawn, and bear the author’s signature.

Application for authorization by a non-resident

Commission de protection du territoire agricole

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IMPORTANT We invite you to keep, for your files, copies of all the documents enclosed with this application, as they will not be returned to you. The file will be opened upon receipt of a complete documentation. A file that is incomplete due to the omission of certain documents and information will be returned to the sender.

The Commission recommends that you send the documents electronically by using the service available on the home page of the website www.cptaq.gouv.qc.ca, by clicking on Transmettre des pièces électroniques. The payment, however, must be sent by mail, accompanied by the number of the electronic transaction. For the applicable fees, please refer to the rates in effect, available at www.cptaq.gouv.qc.ca at the following path: Accueil/Documents/Frais applicables.

Electronic transfer must be used when the format of paper documents is not listed in the following table, or when documents are over 25 pages long.

DOCUMENT FORMATS

Commission de protection du territoire agricole

TRANSMISSION PROCEDURE

Plan

Georeferenced files: • SHP (Shapefile)• DXF• DWG, etc.

and: • PDF format

8.5" x 11" 8.5" x 14" 11" x 17"

Other documents PDF 8.5" x 11" 8.5" x 14" 11" x 17"

Document Electronic* Paper

*recommended formats

ADDRESS FOR SUBMITTING THE FORM AND PAYMENT

Commission de protection du territoire agricole du Québec 200, chemin Sainte-Foy, 2e étage Québec (Québec) G1R 4X6

FOR INFORMATION

info@cptaq.gouv.qc.ca

Québec: 418 643-3314 or toll free 1 800 667-5294 Longueuil: 450 442-7100 or toll free 1 800 361-2090

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1 APPLICANT1.1 Natural person1.2 Legal person with share capital1.3 Legal person without share capital1.4 Mandatary • or name of a resource person

2 OWNER2.1 Name of the owner of the farm land2.2 Location of the farm land2.3 Description of the farm land concerned by the application2.4 Information required to assess the application

3 SIGNATURE4 AFFIDAVITAPPENDIX 1: IDENTIFICATION OF THE APPLICANT1.1 Natural person1.2 Legal person with share capital1.3 Legal person without share capital1.4 Mandatary • or resource person

APPENDIX 2: IDENTIFICATION OF THE OWNER2.1 Name of the owner of the farm land

GLOSSARYEXAMPLE OF A PLANTRANSMISSION PROCEDURE

Signature: OffArticle 13: OffCase à cocher 1: OffNom et prénom en lettres moulées: Profession: Citoyenneté: No rue appartement boîte postale: ville_1: Province_1: pays_1: Code postal: Courriel: residence_1: travail_1: poste_1: cellulaire_1: telecopieur_1: Nombre de jours pendant lesquels vous avez séjourné au Québec au cours des quarantehuit 48 mois précédant la date de cette demande: Case à cocher 2: OffNom et prénom en lettres moulées_2: Lieu de sa constitution: Loi qui la régit: No rue appartement boîte postale siège social: ville_2: Province_2: pays_2: Code postal_2: Courriel_2: travail_2: poste_2: cellulaire_2: telecopieur_2: pas au Québec: Indiquez le nombre total des administrateurs: ainsi que le nombre de ceuxci qui ne résident pas au Québec: Indiquez le nombre total des membres de cette personne morale: ainsi que le nombre de ceuxci qui ne résident pas au Québec_2: Case à cocher 4: OffNom et prénom en lettres moulées_4: Profession_2: No rue appartement boîte postale_2: ville_4: Province_4: pays_4: Code postal_4: Courriel_4: travail_4: poste_4: cellulaire_4: telecopieur_4: Case à cocher 5: OffNom et prénom en lettres moulées_5: Nom de la personne morale sil y a lieu: No rue appartement boîte postale_3: ville_5: Province_5: pays_5: Code postal_5: Courriel_5: residence_5: travail_5: poste_5: cellulaire_5: telecopieur_5: Identifiez la ou les municipalités visées sur laquelle ou lesquelles le ou les lots sont situés: No du ou des lots rangs cadastres: Superficie totale de la propriété: hectares Superficie totale de la demande: Nom et prénom en lettres moulées_3: Lieu de sa constitution_2: No rue appartement boîte postale siège social_2: ville_3: Province_3: pays_3: Code postal_3: Courriel_3: travail_3: poste_3: cellulaire_3: telecopieur_3: Case à cocher 8: OffLoi qui la régit_2: Énumérez lles usages actuels de la terre agricole et mentionnez en indiquant sil y a lieu la superficie de cet ces usages: Bâtiments Ouvrages existantsRow1: annéemoisjour: Utilisation actuelleRow1: annéemoisjour_2: Bâtiments Ouvrages existantsRow2: undefined: Utilisation actuelleRow2: undefined_2: Bâtiments Ouvrages existantsRow3: undefined_3: Utilisation actuelleRow3: undefined_4: Coûts de productionRow1: QuotasRow1: CheptelsRow1: Coûts de productionRow2: QuotasRow2: CheptelsRow2: Fonds de terreRow1: BâtimentsOuvragesRow1: ÉquipementsRow1: CheptelsRow1_2: QuotasRow1_2: AutreRow1: Fonds de terreRow2: BâtimentsOuvragesRow2: ÉquipementsRow2: CheptelsRow2_2: QuotasRow2_2: AutreRow2: Veuillez préciser lusage que vous entendez faire de cette terre agricole et les superficies consacrées à ces usages: du sol et du milieu veuillez préciser les faits au soutien de votre prétention: Je déclare avoir pris connaissance de linformation fournie dans le présent formulaire et que les renseignements inscrits les: OffNom et prénom en lettres moulées_6: Fait à: Date: Je soussignée: Numéro et rue: Ville_1a: Province_1a: Pays_1a: Code postal_6: 2Que les motifs de lacquisition de la terre agricole décrite au formulaire cijoint sont les suivants: 3Que lutilisation projetée de la terre agricole décrite au formulaire cijoint est la suivante: Fait à_2: A: Nom de la personne habilitée à recevoir le serment ou laffirmation solennelle en lettres moulées: Titre: Fait à_3: A_2: Nom et prénom en lettres moulées_7: Profession_3: Citoyenneté_2: No rue appartement boîte postale_4: ville_6: Province_6: pays_6: Code postal_7: Courriel_6: residence_6: travail_6: poste_6: cellulaire_6: telecopieur_6: Nombre de jours pendant lesquels vous avez séjourné au Québec au cours des quarantehuit 48 mois précédant la date de cette demande_2: Nom et prénom en lettres moulées_8: Lieu de sa constitution_3: Loi qui la régit-10: No rue appartement boîte postale siège social_3: ville_7: Province_7: pays_7aaa: Code postal_8: Courriel_7: travail_7: poste_7: cellulaire_7: telecopieur_7: pas au Québec_2: Indiquez le nombre total des administrateurs_2: ainsi que le nombre de ceuxci qui ne résident pas au Québec_3: Nom et prénom en lettres moulées_9: Lieu de sa constitution_4: Loi qui la régit_4: No rue appartement boîte postale siège social_4: ville_8: Province_8: pays_8: Code postal_9: Courriel_8: travail_8: poste_8: cellulaire_8: telecopieur_8: Indiquez le nombre total des membres de cette personne morale_2: ainsi que le nombre de ceuxci qui ne résident pas au Québec_4: Nom et prénom en lettres moulées_10: Profession_4: No rue appartement boîte postale_5: ville_9: Province_9: pays_9: Code postal_10: Courriel_9: travail_9: poste_9: cellulaire_9: telecopieur_9: Nom et prénom en lettres moulées_11: Nom de la personne morale sil y a lieu_2: No rue appartement boîte postale_6: ville_10: Province_10: pays_10: Code postal_11: Courriel_10: residence_10: travail_10: poste_10: cellulaire_10: telecopieur_10: Nom et prénom en lettres moulées_12: Nom de la personne morale sil y a lieu_3: No rue appartement boîte postale_7: ville_11: Province_11: pays_11: Code postal_12: Courriel_11: residence_11: travail_11: poste_11: cellulaire_11: telecopieur_11: Nom et prénom en lettres moulées_13: Nom de la personne morale sil y a lieu_4: No rue appartement boîte postale_8: ville_12: Province_12: pays_12: Code postal_13: Courriel_12: residence_12: travail_12: poste_12: cellulaire_12: telecopieur_12: Nom et prénom en lettres moulées_14: Nom de la personne morale sil y a lieu_5: No rue appartement boîte postale_9: ville_13: Province_13: pays_13: Code postal_14: Courriel_13: residence_13: travail_13: poste_13: cellulaire_13: telecopieur_13: