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Legal Representative Statement - Assignment before the issue of Plant Breeders' Rights

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This form is to be filled in and used as evidence establishing the applicant as the legal representative for Plant Breeders' Rights. Contact information is required about the assignor, assignee, and information about the variety. The form must be witnessed.

Please submit a separate assignment for each variety.

The following letter may serve as a standard form to be completed prior to application as evidence establishing the applicant as the legal representative, or after application when an assignment of a new variety occurs prior to a grant of rights.

I, (assignor)

whose full post office address is

in consideration of the receipt of which is hereby acknowledged, do hereby sell and assign,

effective the day of 20,

to (assignee)

whose full post office address is

my interest in Canada for the (common name of species)

variety entitled (denomination and PBR application number - if issued)

as described and claimed in the application for Plant Breeders' Rights and to all my corresponding right, title and interest in and to any grant of rights which may issue therefore.

Signed at (City/town and Country)

effective the day of 20

Witness

Assignor

Signed at (City/town and Country)

effective the day of 20

Witness

Assignee

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