Affidavit of Source of Funds

AFFIDAVIT OF SOURCE OF FUNDS

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

1. I am the lawful owner of funds in the amount of ______, held at ______.

2. The source of these funds is as follows: ______.

3. These funds come from a legitimate source and are not the proceeds of any unlawful activity.

4. The funds will be used 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