Form 21/form 31 - Revocation Of Power Of Attorney/affidavit Of Attestation Of An Instrument Page 2
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1
2Affidavit of Attestation of an Instrument
Form 31
Land Titles Act
Sections 155 and 156
I,
of
in the
make oath and say:
1. I was personally present and did see
who is (are) known to me to be the person(s) named in the within instrument, duly sign the instrument;
OR
I was personally present and did see
who, on the basis of the identification provided to me, I believe to be the person(s) named in the within instrument, duly
sign the instrument;
2. The instrument was signed at
, in the
and I am subscribing witness thereto;
3. I believe the person(s) whose signature I witnessed is (are) at least eighteen (18) years of age.
SWORN before me at
in the
this
day of
,
(Witness Sign Here)
(Print or Stamp Name of Commissioner)
(Expiry Date of Commission or Office)
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