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Primary Residence Sworn Statement

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Principal Residence Attestation

I, ______, of the City/Town of ______, in the Province of ______, DO SWEAR (or AFFIRM) AND STATE:

  1. I was born on ______.

  2. I am a resident at the property located at ______ (hereinafter referred to as the "Property").

  3. I have been a resident at ______ since ______.

  4. The Property is currently my principal residence where I ordinarily reside, in accordance with the guidelines set forth in the Canada Revenue Agency Income Tax Folio S5-F1-C1.

  5. Neither I nor my spouse or common-law partner (who was not separated or living apart from me at any time during the year under a judicial separation or written separation agreement), nor any of my children (if applicable—under 18 years of age and unmarried and not in a common-law partnership throughout the year), have designated any other property as a principal residence.

  6. I undertake to notify ______ in writing within thirty (30) days if the Property ceases to be my, or our, principal residence.

  7. This attestation is being sworn for submission to ______ and for no improper reason.

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

______________________________
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