Notice of Intent to Realize on Security

 

You can use either the Web version or another version of the form from the Alternative Formats section.

Please complete, print and send the form by mail or fax to your region or closest region.

Locations:

Regional Office responsible for Saskatchewan, Manitoba, British Columbia, Alberta, Nunavut, Northwest Territories and Yukon Territories
Agriculture and Agri-Food Canada
Farm Debt Mediation Service
301-2010 12th Avenue
Regina, Saskatchewan
S4P 4K7

Toll Free Number: 1-866-452-5556
Telephone: 306-780-5544
Fax: 306-780-7353

Regional Office responsible for Ontario
Agriculture and Agri-Food Canada
Farm Debt Mediation Service
P.O. Box 57000
Research Centre, 850 Lincoln Road
Fredericton, NB
E3B 6C2

Toll Free Number: 1-866-452-5556
Telephone:
English: 613-773-0878
French: 506-460-4453 
Fax: 506-452-4975

Regional Office responsible for Quebec
Agriculture and Agri-Food Canada
Farm Debt Mediation Service
Jules-Dallaire Complex
2828 Laurier Boulevard - Room 640
Quebec, Quebec
G1V 0B9

Toll Free Number: 1-866-452-5556
Telephone: 418-649-8142
Fax: 418-648-2439

Regional Office responsible for Newfoundland and Labrador, Nova Scotia, New Brunswick and Prince Edward Island
Agriculture and Agri-Food Canada
Farm Debt Mediation Service
P.O. Box 57000
Research Centre, 850 Lincoln Road
Fredericton, New-Brunswick
E3B 6C2

Toll Free Number: 1-866-452-5556
Telephone: 506-460-4453
Fax: 506-452-4975

Protected B

As required under Section 21 of the Farm Debt Mediation Act, you are hereby notified that it is the intent of:






Farmer’s address



















The security being (type(s) of security):


On (asset(s)):














You are hereby notified of your right to make application under Section 5 of the Farm Debt Mediation Act for a review of your financial affairs, mediation with your creditors, and to obtain a stay of proceedings against this action. Provided you are:

  1. currently engaged in farming for commercial purposes; and
  2. insolvent, meaning that you are:
    • unable to meet your obligations as they generally become due; or
    • have ceased paying your current obligations in the ordinary course of business as they generally become due; or
    • the aggregate of your property is not, at fair valuation, sufficient, or if disposed of at a fairly conducted sale under legal process would not be sufficient, to enable payment of all your obligations, due and accruing due.

A secured creditor must wait 15 business days after this notice has been deemed served before beginning action to realize on their security. You may apply for mediation and a stay of proceedings at any time, before, during, or after the 15 business day period, by making an application to the Farm Debt Mediation Service.

The Farm Debt Mediation Service provides qualified farm financial counselors to conduct a financial review and to prepare a recovery plan for your mediation meeting. Qualified mediators are provided to help you and your creditors reach a mutually satisfactory arrangement.

Application forms and more information about the service can be obtained from:
Farm Debt Mediation Service
1-866-452-5556

The information you provide on this document is collected by Agriculture and Agri-Food Canada under the authority of the Farm Debt Mediation Act for the purpose of facilitating financial arrangements between farmers and their creditors. Personal information will be protected under the provisions of the Privacy Act and will be stored in Personal Information Bank AAFC-PPU-227. Information may be accessible or protected as required under the provisions of the Access to Information Act.

Copy: 1 Farmer, 2 Administrator, 3 Creditor

AAFC / AAC4805a (2005/01)

Alternative Formats

Help with Alternative Formats

Notice of Intent to Realize on Security (PDF Version, 725 KB)