Consent

First and Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Email Address *

Phone Number *

Phone Number

I retained John P. Levesque Professional Corporation, formerly Levesque & Deane, for the following legal work: *Real EstateCorporateWills & Estates

As Mr. Levesque is retiring, I hereby authorize John P. Levesque Professional Corporation to deliver a copy of my file to: *Daniel J. Clarke of Lowes, Salmon, Gadbois, and ClarkeI will pick up my file no later than August 31st, 2025.

I further authorize John P. Levesque Progessional Corporation to deliver the following property being held for me to Daniel J. Clarke: *original Willoriginal Powers of Attorney document(s)Corporate Minute Books, Seals, or Recordsfunds currently being held in trust (please specify amount below)any other property or documents specified below

I understand I must arrange with reception to pick up my file no later than August 31st, 2025. *Yes

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Please feel free to share any questions or comments. If you require a response, please ensure you include this in your comment.

Consent *

By filling out this form you acknowledge your direction to John P. Levesque with respect to the handling of any current and past files as outlined in your responses outlined above.

John P. Levesque Professional Corporation

B5-490 Dutton Dr. Waterloo, Ontario Canada N2L 6H7

(519) 725-2929

reception@kwlegal.com