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A sworn declaration confirming that you have surrendered, returned, or given up a document — used to confirm it is no longer in your possession or use. 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 SURRENDER OF A DOCUMENT
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I was the holder of the following document: ______ (reference number: ).
On ______, the document was ______, .
The reason and circumstances are as follows: ______.
The document is no longer in my possession or control.
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.
SWORN / 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 Surrender of a Document
A compact preview of this template
Your Information
Your full legal name
Description of the document
Your full address
STATUTORY DECLARATION OF SURRENDER OF A DOCUMENT
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I was the holder of the following document: ______ (reference number: ).
On ______, the document was ______, .
The reason and circumstances are as follows: ______.
The document is no longer in my possession or control.
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.
SWORN / 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 a surrender affidavit or declaration of returned document — confirming that a specified document has been surrendered or given up, and to whom where relevant.
It is used where an authority or party needs sworn confirmation that a document is no longer held or used by you.
It is used to confirm a document has been given up.
Describe the document, state that you have surrendered or returned it and to whom, and the date. Confirm it is no longer in your possession or use.
After you fill in your statutory declaration of surrender of a document 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 surrender of a document 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 so we can verify your identity before applying the notary seal.
Frequently asked
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