Tenant's Declaration of Residence

DECLARATION OF RESIDENCE

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

1. I reside at ______, and have lived at that address since ______.

2. My living arrangement is: ______. The landlord or owner, where applicable, is ______.

3. That address is my true and ordinary place of residence.

4. I make this declaration as proof of my residence, 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