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Statutory Declaration of Identity Theft
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STATUTORY DECLARATION OF IDENTITY THEFT
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I did not open, authorize, or benefit from the following account(s) or transaction(s): ______ at ______.
I first became aware of this unauthorized activity on ______.
The unauthorized activity is described as follows: ______.
I reported this matter to the police under report number , where applicable.
I am a victim of identity theft, and I request that the affected records be corrected and any liability removed.
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.
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.
______________________________ | ______________________________ |
