“NOTICE SEEKING AGREEMENT TO PROSPECTIVE NOMINATION OF DOMINANT TENEMENTS
Superior:
(see note for completion 1)
Person who has the feudal estate of dominium utile:
(see note for completion 2)
Description of land which, if agreement is reached and the agreement is registered, shall be the prospective servient tenement:
Description of land which, if agreement is reached and the agreement is registered, shall be the prospective dominant tenement:
Terms of real burden:
(see note for completion 3)
Any counter-obligation:
(see note for completion 3)
Title to the superiority:
(see note for completion 4)
Title to land which would be the prospective dominant tenement:
(see note for completion 4)
Service:
(see note for completion 5)
Signature of superior:
Date: .”.”