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STATUTORY DECLARATION OF VALUE OF GOODS
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I have knowledge of the following goods: ______.
To the best of my knowledge, the fair value of those goods is ______ ______.
I declare this value for the following reason: ______.
The value stated is true and accurate to the best of my knowledge.
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