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Statutory Declaration of Non-Receipt
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STATUTORY DECLARATION OF NON-RECEIPT
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I was expecting to receive the following ______: ______, from ______.
Date it was expected, on or about (if known):
Amount or value (if applicable):I did not receive it. The circumstances, and what I have done about it, are as follows: ______.
To the best of my knowledge, the item has not come into my possession or control.
I make this declaration to support a refund, reissue, or claim. Specific purpose (if any):
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.
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