Make Yourself At Home

Remember, we are here every step of the way to assist you with moving in, becoming familiar with your new community, and introducing you to the Boardwalk family. This is an exciting time and we wish for you a positive and fun experience as you settle in to your new home.

We look forward to getting to know you!

AUTHORIZATION FORM

Name:

Suite:

Project:

Address:

Phone:

These services are for (check one) X personal business use.

I authorize Boardwalk REIT Limited Partnership to process a debit, in paper, electronic or any other form in the amount of the outstanding balance on my account as per my lease agreement on the 1st day of each month, beginning __________________.

I would like a monthly receipt showing my payment received. Yes No

I have waived my right to receive pre-notification of the amount of the PAD and agreed that I do not require advance notice of the amount of PADs before the debit is processed.

I acknowledge that I have read and understood all the provisions contained in the terms and conditions of the preauthorization and that I have received a copy.

In order for Boardwalk to comply with federal and/or provincial privacy legislation, I/we understand that all personal information collected from me/us may be collected, used and disclosed by Boardwalk for the purpose of my/our application assessment, for the purpose of debt collection, to uphold and maintain the rules and regulations of the property, to evaluate my/our tenancy, to comply with applicable law and in the ordinary course of Boardwalk's business, including, but not limited to, any refinancing or potential sale of the property, and normal course dealings with providers of utilities and other like services.

Signature: Date:

I have attached a "void" cheque.

Financial Institution Name

Financial Institution Number

Branch Transit Number

Deposit Account Number

Branch Address

or

Chequing Account Savings Account

Boardwalk Rental Communities, #200, 1501 - 1 Street SW, Calgary, Alberta T2R 0W1 Phone: (403) 531-9255 Fax: (403) 531-9565 www.bwalk.com

TERMS & CONDITIONS

a) I authorize the Payee to debit my account as indicated on the attached "void" cheque under the terms and conditions agreed to me with the Payee until such time as written notice to the contrary is given.

b) I acknowledge that delivery of my authorization to the Payee constitutes delivery by me to the branch of the financial institution at which I maintain an account and that such financial institution is not required to verify that the payment (s) are drawn in accordance with this authorization. Termination of this authorization may/may not terminate the contract for good and services provided.

c) You the Payor may revoke your authorization at any time, subject to providing notice prior to the 23rd of the month you wish to cancel the PAD. To obtain a sample cancellation form, or for more information on your right to cancel a PAD

Agreement, contact your financial institution or visit www.cdnpay.ca.

d) I will notify the Payee in writing of any changes to the account information or termination of this authorization prior to the 23rd of the month preceding the next pre-authorized debit.

e) I agree to replace any insufficient funds plus any applicable NSF fee with a certified cheque or money order.

f) I acknowledge that if there are insufficient funds on the first of the month, a second attempt will be made to withdraw the funds. I recognize that my financial institution may charge an additional NSF fee should there be insufficient funds upon this second attempt.

Items charged under any of the following conditions will be reimbursed subject to written notification by me to the branch of account within 90 days.

You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD Agreement. To obtain more information on your recourse rights, contact your financial institution or visit www.dncpay.ca.

a) I never provided authorization to the Payee.

b) The pre-authorized debit was not drawn in accordance with my authorization.

c) My authorization was revoked.

d) The debit was posted to the wrong account due to invalid/incorrect account information supplied by the Payee.

I warrant that all persons whose signature(s) are requested to sign on this account have signed this agreement.

Boardwalk Rental Communities, #200, 1501 - 1 Street SW, Calgary, Alberta T2R 0W1 Phone: (403) 531-9255 Fax: (403) 531-9565 www.bwalk.com