Form 4—Notice by Debtor Company to Disclaim or Resiliate an Agreement

To , (monitor and parties to the agreement)

Take notice that

1. Proceedings under the Companies' Creditors Arrangement Act ("the Act") in respect of (name of debtor company) were commenced on the day of , 20.

2. In accordance with subsection 32(1) of the Act, the debtor company gives you notice of its intention to disclaim or resiliate the following agreement (provide sufficient details of the agreement to enable it to be identified):

3. In accordance with subsection 32(2) of the Act, any party to the agreement may, within 15 days after the day on which this notice is given and with notice to the other parties to the agreement and to the monitor, apply to court for an order that the agreement is not to be disclaimed or resiliated.

4. In accordance with paragraph 32(5)(a) of the Act, if no application for an order is made in accordance with subsection 32(2) of the Act, the agreement is disclaimed or resiliated on the day of , 20, being 30 days after the day on which this notice has been given.

Dated at , , on , 20.

Debtor Company

The monitor approves the proposed disclaimer or resiliation.

Dated at , , on , 20.

Monitor's representative
responsible for the proceedings