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Statutory declarations

Statutory Declaration of Receipt of Funds

A sworn declaration acknowledging that you have received a payment — useful as proof of payment, a receipt, or to confirm settlement. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.

Pay only when you notarize

Word files are editable. Review any changes carefully before signing or uploading.

Also known as

  • Acknowledgement of Receipt of Payment
  • Receipt of Funds Affidavit
  • Proof of Payment Declaration
  • +1 more names
    • Sworn Statement of Funds Received

STATUTORY DECLARATION OF RECEIPT OF FUNDS

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

  1. I have received from ______ the sum of ______, on ______. Method of payment (if specified):

  2. The payment was made for: ______.

  3. This payment is ______.

  4. I acknowledge receipt of the funds. Purpose of this declaration (if specified):

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.

______________________________
A Commissioner of Oaths / Notary Public

______________________________
______

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Scope
General template, not legal advice
Formats
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Walkthrough · Step 01 of 04

Statutory Declaration of Receipt of Funds

A compact preview of this template

01Your Information

Your full legal name

Full name of the person or business who paid you

Your full address

STATUTORY DECLARATION OF RECEIPT OF FUNDS

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

  1. I have received from ______ the sum of ______, on ______. Method of payment (if specified):

  2. The payment was made for: ______.

  3. This payment is ______.

  4. I acknowledge receipt of the funds. Purpose of this declaration (if specified):

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.

______________________________
A Commissioner of Oaths / Notary Public

______________________________
______

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How it works

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  1. 01

    What is a receipt of funds declaration?

    It is a sworn statement — also called an acknowledgement of receipt of payment or proof of payment declaration — confirming under oath that funds were received.

    It is used where formal proof of a payment is needed.

  2. 02

    When you might need one

    It supports proof of payment and settlement.

    • You received a payment and the payer needs sworn proof.
    • You are confirming an amount is paid in full and final settlement.
    • A formal receipt is required for a transaction or dispute.
  3. 03

    What to include

    State who paid you, the amount, how it was paid, the date, and what the payment was for, and whether it is full and final or partial. Choose "full and final" only if that is truly the case, as it can affect later claims.

  4. 04

    How to notarize a statutory declaration of receipt of funds in Ontario

    After you fill in your statutory declaration of receipt of funds and download the PDF, do not sign it in advance. A sworn document must be signed in front of a notary public or commissioner for taking affidavits, who administers your oath or solemn affirmation first.

    Minute Notary commissions your statutory declaration of receipt of funds online by secure video, under Ontario's remote commissioning rules (O. Reg. 431/20), or in person in Ottawa. Bring valid government-issued photo identification.

Notary’s docket

Good to know

Before you fill it in.

Short notes from our notary on this template. Worth a minute before you start.

  1. 01

    Reviewed for use in Ontario by a notary public and commissioner for taking affidavits.

  2. 02

    Fill it in online for free and download a ready-to-sign PDF — no account required.

  3. 03

    Sign in front of the notary, who witnesses your signature and applies the seal.

  4. 04

    Notarize online by video across Ontario, or in person in Ottawa.

Frequently asked

Questions about the Statutory Declaration of Receipt of Funds

01
What is a receipt of funds declaration for?
As sworn proof that you received a payment — useful where a formal receipt is needed or to confirm an amount is settled.
02
What does "full and final payment" mean?
It signals the amount settles the matter in full and nothing more is owed. Only choose it if that is truly the case, as it can affect later claims.
03
Can I notarize it online in Ontario?
Yes. You can swear it online by video under Ontario’s remote commissioning rules, or in person in Ottawa with Minute Notary.
04
Is it a substitute for a written agreement?
No. It confirms a payment was received. A larger transaction may still need a separate agreement or release.

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  2. 02
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  3. 03
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  4. 04
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Ready to sign?

Ready to create your Statutory Declaration of Receipt of Funds?

Fill it in online, then download a ready-to-sign PDF or an editable Word copy. Use the generated PDF to continue to booking. Not sure what the appointment involves? Read about the Statutory Declarations service first.