Primary Residence Sworn Statement

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1
Personal Details
Full legal name
Date of birth - MM-DD-YYYY
City or town of residence
Province of residence
2
Property Details
Property Address
Date you first occupied this residence
Name of Property Owner
3
Reason for Attestation
Where will this document be submitted?

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Principal Residence Attestation

I, ______, of the City/Town of ______, in the Province of ______, DO SWEAR AND STATE:

I was born on ______.
I am a resident at the property located as ______ (hereinafter referred to as the "Property").
I have been a resident at the ______ since ______.
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.
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.
I undertake to notify ______ in writing within thirty (30) days if the Property ceases to be my, or our, principal residence.
This attestation is being sworn for submission to ______ and for no other improper reason.

Fill in the fields on the left. Your document updates live on the right.

Document progress

0 of 8 fields complete

Saved on this device only.

1
Personal Details
Full legal name
Date of birth - MM-DD-YYYY
City or town of residence
Province of residence
2
Property Details
Property Address
Date you first occupied this residence
Name of Property Owner
3
Reason for Attestation
Where will this document be submitted?

Live preview

Principal Residence Attestation

I, ______, of the City/Town of ______, in the Province of ______, DO SWEAR AND STATE:

I was born on ______.
I am a resident at the property located as ______ (hereinafter referred to as the "Property").
I have been a resident at the ______ since ______.
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.
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.
I undertake to notify ______ in writing within thirty (30) days if the Property ceases to be my, or our, principal residence.
This attestation is being sworn for submission to ______ and for no other improper reason.