Statutory Declaration of Ownership of Property

STATUTORY DECLARATION OF OWNERSHIP OF PROPERTY

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

1. I am the owner of the following property: ______.

2. I acquired it as follows: ______. Its approximate value, where relevant, is ______.

3. To the best of my knowledge, no other person has any ownership interest, lien, or claim against it.

4. I make this declaration in connection with: ______, 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