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Statutory declarations
A sworn statement describing your financial circumstances — used to support a request for a fee waiver, payment arrangement, or other relief.
Also known as
STATUTORY DECLARATION OF FINANCIAL HARDSHIP
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I am currently experiencing financial hardship, described as follows: ______.
My approximate monthly income is ______, and I support ______ dependent(s).
My major monthly expenses or debts include: ______.
Because of these circumstances, I am unable to meet the cost in question, and I respectfully request: ______.
The information above is a true and accurate statement of my financial situation.
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
How it works
Answer the questions on the left. Your document builds itself on the right as you type.
Get a clean, ready-to-sign PDF in seconds. No account, no watermark.
Book an appointment, bring your document, and we witness your signature and apply the seal.
It is a sworn statement setting out your income, dependents, and obligations to show that you cannot meet a particular cost.
Courts, agencies, and institutions may accept it to support a fee waiver, reduced payment, or similar relief.
You may need it when:
Have ready:
Fill in the form and download a clean, ready-to-sign PDF. Do not sign it yet — it must be signed in front of a notary public or commissioner for taking affidavits.
Book an appointment with Minute Notary. We administer your oath or affirmation, witness your signature, and apply the seal — online where eligible, or in person in Ottawa.
Frequently asked
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