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Personal information about you and your partner
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Statutory Declaration of Common-Law Partnership
We, ______, and ______, of the City/Town of ______, in the Province of ______,
DO SOLEMNLY DECLARE THAT:
My name is ______ and my date of birth is ______.
My spouse/partner is ______. ______ was born on ______.
We currently live at ______.
______ and I have cohabited in a conjugal relationship since ______.
This statutory declaration states that ______ and I are common-law partners.
We declare this to be true in support of our application to the ______ for the purpose of ______.
We make this solemn declaration conscientiously believing it to be true and knowing it carries the same force and effect as if made under oath.
______
Supplementary Details
My common-law partner and I:: ______
Life Insurance: ______