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AFFIDAVIT OF WITNESS TO AN INCIDENT
I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY that:
On ______, at ______, I personally witnessed a ______.
What I saw, in my own words, is as follows: ______.
The people involved, so far as I know them, are: .
This account is true to the best of my knowledge and recollection.
I make this affidavit for the following purpose: .
SWORN / AFFIRMED before me at the ______________________ of ______________________, in the Province of Ontario, this ______ day of ______________, 20______.
_______________________________ _______________________________
A Commissioner for taking Affidavits Signature of Deponent