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Statutory declarations
A sworn statement acknowledging that you have received a payment — useful as proof of payment, a receipt, or to confirm settlement.
Also known as
STATUTORY DECLARATION OF RECEIPT OF FUNDS
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I have received from ______ the sum of ______, paid by ______, on ______.
The payment was made for: ______.
This payment is ______.
I acknowledge receipt of the funds, and I make this declaration 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
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 acknowledgement that you received a sum of money, from whom, when, and what it was for.
It serves as reliable proof of payment or as confirmation that an amount has been settled.
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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Fill it outFill it in online, download a ready-to-sign PDF, then bring it in and we will notarize it, in person across Ottawa or online.