Statutory Declaration of Rent Paid

STATUTORY DECLARATION OF RENT PAID

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

1. I rented and occupied the residential unit located at ______.

2. My landlord or property owner was ______.

3. During the period covering ______, I paid rent totalling ______, at a monthly rent of ______ where applicable.

4. I do not have formal receipts for all of these payments, and I make this declaration to confirm the rent I actually paid.

5. 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