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STATUTORY DECLARATION TO CORRECT AN ERROR IN A RECORD
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
The following record contains an error: ______, held by .
The record currently states: ______.
The correct information is: ______.
I make this declaration to support the correction of the record, 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.
SWORN / DECLARED before me at the ______________________ of ______________________, in the Province of Ontario, this ______ day of ______________, 20______.
_______________________________ _______________________________
A Commissioner for taking Affidavits Signature of Declarant