Form 26b Affidavit For Filing Domestic Contract

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ONTARIO
Court File Number
_____________________________________________________
(Name of court)
Form 26B: Affidavit
at
___________________________________________________
dated
. . . . . . . . . . . . . . . . . . . .
Court office address
for Filing Domestic Contract or
Paternity Agreement with Court
Recipient(s)
Full legal name & address for service — street & number, municipality, postal code,
Lawyer's name & address — street & number, municipality, postal code, telephone
& fax numbers and e-mail address (if any).
telephone & fax numbers and e-mail address (if any).
Payor
Lawyer's name & address — street & number, municipality, postal code, telephone
Full legal name & address for service — street & number, municipality, postal code,
telephone & fax numbers and e-mail address (if any).
& fax numbers and e-mail address (if any).
My name is
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(full legal name)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I live in
(municipality & province)
and I swear/affirm that the following is true:
� marriage contract
� cohabitation agreement
1. I attach a copy of a
� separation agreement
� paternity agreement
for filing with the court so that its support provisions can be enforced or changed as if they were a court order.
2. The contract/agreement has not been set aside or disregarded by a court nor has it been changed by agreement of
the parties.
Sworn/Affirmed before me at
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
municipality
in
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
province, state or country
on
. . . . . . . . . . . . . . . . . . . . . . . . .
Signature
date
Commissioner for taking affidavits
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 commis-
sioner for taking affidavits.)
FLR 26B (September 1, 2005)
(Français au verso)

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