Claimant's Counsel (if applicable):

Mailing Address:

FAX:

Phone:

Name of Respondent:

Respondent's Counsel (if applicable):

Mailing Address:

FAX:

Phone:

Please find enclosed a commencement fee in the amount of $ 1875 plus GST of ______
Total Enclosed: $____________

BRIEF STATEMENT OF MATTER IN DISPUTE:
(here set out the amount of the creditor's claim, the extent to which it was rejected by the Trustee and in the case of a liability dispute, a brief description of the issue. Copies of your proof of claim and the Trustee's rejection of your claim must be attached.)

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
_____________________________

Name of arbitrator agreed to by the parties (if any):

We hereby submit the above noted dispute to binding arbitration before a single arbitrator under the NEW HOME WARRANTY OF BRITISH COLUMBIA , INC. SUMMARY ARBITRATION RULES of the British Columbia International Commercial Arbitration Centre.

The location of the arbitration shall be Vancouver, BC, unless otherwise directed by the arbitrator.

_________________________________
Claimant or Counsel for the Claimant