Court Of Queen'S Bench Of Alberta - Consent Order Template Page 7

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Affidavit of Execution
I, ___________________________________ of _______________________, Alberta
Name of Witness
City / Town
MAKE OATH AND SAY:
4.
I was personally present and did see ____________________________________________
Name of Respondent
sign the attached document.
5.
(Choose one)
I personally know the Respondent.
The Respondent showed me the following photo identification _____________________
______________________________________________________________________
Describe identification provided – e.g. drivers license, passport
The Respondent showed me the following identification that did not include a photo
______________________________________________________________________
Describe identification provided – e.g. health care card, birth certificate
6.
The document was signed at _________________________________, Alberta, and
City / Town
I am the witness.
Sworn (OR Affirmed) before me
on
, 20
at
, Alberta.
Signature of person swearing / affirming Affidavit
Commissioner for Oaths in and for the
Province of Alberta, Justice of the Peace or
ID Verified ________________________
Notary Public
Consent Order- Blank
Revised January, 2012

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