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AFFIDAVIT OF IDENTITY AND SIGNATURE
I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY that:
I am the person named above, born on , and my identity is confirmed by the following identification: ______.
The signature I provide below, in the presence of the commissioner, is my true and genuine signature.
I use this signature in connection with the following document or account: ______.
I make this affidavit to verify my identity and signature, for the following purpose: .
Specimen signature: _______________________________
SWORN / AFFIRMED before me at the ______________________ of ______________________, in the Province of Ontario, this ______ day of ______________, 20______.
_______________________________ _______________________________
A Commissioner for taking Affidavits Signature of Deponent