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Statutory Declaration of Small Estate

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STATUTORY DECLARATION OF SMALL ESTATE

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

  1. I am the ______ of ______ (the “Deceased”), who died on ______ at ______.

  2. At the date of death the Deceased resided at ______, and was ______.

  3. The assets of the estate, and their values at the date of death, are: ______.

  4. The total value of the estate at the date of death is ______.

  5. To the best of my knowledge the Deceased held no other property in Ontario requiring administration, apart from the assets listed above.

  6. The debts and liabilities of the estate are: .

  7. The persons entitled to share in the estate are: ______.

  8. I make this declaration in support of the administration of this estate, and I undertake to administer and distribute it according to law.

  9. 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 Deponent