Affidavit of Witness to a Signature

AFFIDAVIT OF WITNESS TO A SIGNATURE

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

1. On ______, at ______, I was present and personally witnessed ______ sign the document described as: ______.

2. The person signed the document freely and in my presence, and I signed as a witness.

3. I am not a party to the document and have no interest in its subject matter.

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