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STATUTORY DECLARATION OF CONSENT OR NO OBJECTION
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I consent to, and have no objection to, the following: ______.
It is to be carried out by ______, in relation to ______.
My consent is subject to the following conditions, where applicable: ______.
I give this consent freely and with knowledge of the matter, and I make this declaration for the following purpose: ______.
I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
DECLARED before me at the ______________________ of ______________________, in the Province of Ontario, this ______ day of ______________, 20______.
_______________________________ _______________________________
A Commissioner for taking Affidavits Signature of Declarant