Affidavit Of Jane Doe Page 4

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Information and Instruction Guide for Commissioners for Taking Affidavits for British Columbia
Example of an Affidavit Verified by Oath, with Ordinary Form of Jurat
Affidavit of Jane Doe
I, Jane Doe, of the City of Victoria in the Province of British Columbia, make an
Oath and say:
1. THAT …
Signature of Jane Doe
Sworn/Affirmed/Declared before me at the City of Victoria, in the Province of
British Columbia, this___day of____________, 20___.
(Commissioner’s Signature)
A Commissioner for Taking Affidavits for the Province of British Columbia
(Commissioner’s stamp or printed name
and expiry date)

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