Statutory Declaration of Lost Vehicle Permit (Ownership)

STATUTORY DECLARATION OF LOST VEHICLE PERMIT

I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:

1. I am the registered owner of the following vehicle: ______, VIN ______, licence plate ______.

2. The vehicle permit (ownership) for that vehicle, number ______, was ______ in the following circumstances: ______.

3. The permit has not been transferred, sold, or surrendered by me, and I have been unable to recover it.

4. I make this declaration to support the issuance of a replacement permit, 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