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Affidavit for Jurisdiction (Form 11A) — Ontario Small Claims Court

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AFFIDAVIT FOR JURISDICTION (FORM 11A)

Ontario Superior Court of Justice

Small Claims Court at ______

Claim No. ______

BETWEEN

______

Plaintiff(s)

and

______

Defendant(s)

I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY:

  1. In this action, I am ______.

  2. I make this affidavit to support the plaintiff's request that the clerk note the defendant or defendants in default. All of the defendants have been, or will be, served outside this court's territorial division (rule 11.01 (3) of the Rules of the Small Claims Court).

  3. Under rule 6.01, the plaintiff is entitled to bring this action at this court because ______.

Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.

______________________________
A Commissioner of Oaths / Notary Public

______________________________
Signature of Deponent