General Affidavit (Ontario)

AFFIDAVIT

Re: ______

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

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

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

_______________________________ _______________________________

A Commissioner for taking Affidavits Signature of Deponent