1141490 ALBERTA LTD.

(the “Developer”)

Receipt for Disclosure Statement

The undersigned hereby confirm(s) that he/she/they has/have received and been afforded the opportunity to read the Disclosure Statement dated March 22, 2022 (the “Disclosure Statement”) in respect of the Development.

Dated this _________ day of ____________________________. 20______.

____________________________ Witness:_________________________

Purchaser (Signature)

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Purchaser (Print Name)

____________________________ Witness:_________________________

Purchaser (Signature)

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Purchaser (Print Name)