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Statutory declarations
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.
Word files are editable. Review any changes carefully before signing or uploading.
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
Statutory Declaration of Receipt of Funds
A compact preview of this template
Your 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:
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, choose the download you need, then continue with signing or booking.
Overview
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.
It supports proof of payment and settlement.
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.
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.
Frequently asked
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