Affidavit of Residency

AFFIDAVIT OF RESIDENCY

I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:

1. I ordinarily reside at ______.

2. I have resided at this address since ______, and it is my permanent and principal place of residence.

3. I make this declaration for the following purpose: ______.

I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.

SWORN / DECLARED before me at the ______________________ of ______________________, in the Province of Ontario, this ______ day of ______________, 20______.

_______________________________ _______________________________

A Commissioner for taking Affidavits Signature of Declarant