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Statutory declarations

Custom Statutory Declaration

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CANADA
PROVINCE OF
______
IN THE MATTER OF:
______
To:
______

STATUTORY DECLARATION

I, ______, of the City of ______, in the Province of ______, DO SOLEMNLY DECLARE AS FOLLOWS:

  1. My name is ______.

  2. I was born on ______ in ______. I am a citizen of ______. I currently live at ______.

  3. The purpose of this Statutory Declaration is to ______ and support my application to the ______.

  4. - ______

This solemn declaration is made in support of my submission to ______, and for no unlawful or improper purpose. I make this solemn declaration conscientiously believing it to be true, and with the understanding that it carries the same force and effect as if made under oath, pursuant to the Canada Evidence Act.

Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.

______________________________
A Commissioner of Oaths / Notary Public

______________________________
______