Form 14a Affidavit (General) - Ontario Court Forms Page 3

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Court File Number
Form 14A: Affidavit (general) dated
. . . . . . . . . . . . . . . . . . . . . . .
(page 2)
Put a line through any blank space left on this page.
Sworn/Affirmed before me at
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
municipality
in
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
province, state or country
on
. . . . . . . . . . . . . . . . . . . . . . . . .
Signature
Commissioner for taking affidavits
date
This form is to be signed in front of a lawyer,
(Type or print name below if signature is illegible.)
justice
of
the
peace,
notary
public
or
commissioner for taking affidavits.)
FLR 14A (September 1, 2005)
(Français au verso)

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