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Statutory Declaration of Surrender of a Document
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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 ______ (authority involved: ).
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.
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.
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