Affidavit In Support Of Cost Claim

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APPENDIX “B”
FORM 3
AFFIDAVIT IN SUPPORT OF COST CLAIM
____________________
________________
Board File Number
Party Name
Items Claimed excluding GST
Legal/Consultant Fees
+
Disbursements =
Net Sub-Total
$_______________
$______________
$_________________
Goods and Services Tax
..... Full Registrant
..... Qualifying Non-Profit (GST at 2.5%)
..... Unregistered (GST at 5%)
..... Tax Exempt (no GST).....
Other ___________ GST at ________ %
Total Cost Claim
Net Sub-Total
+
Total GST Claimed
=
Total Cost Claim
$_____________
$____________
$______________
I, (name)____________________, of the (City, Town, etc.) ____________________in the
(County, Regional Municipality, etc.) of ________________________, MAKE OATH AND
SAY:
1.
I am a representative of the above noted party (the “party”) and as such have knowledge of the matters
attested to herein.
2.
I have examined the above Cost Claim and all of the documentation in support of it.
3.
The above Cost Claim represents only costs incurred directly and necessarily by the party for the purpose
of its intervention in the Ontario Energy Board process (the file number of which is set out above).
4.
The above Cost Claim does not include any costs incurred for work done, or time spent, by employees or
officers of the party as described in section 6.05 of the Board’s Practice Direction on Cost Awards.
SWORN (OR AFFIRMED) BEFORE ME at the (City, Town, etc.) of
_____________________________, in the (County, Regional Municipality, etc.) of
__________________________________ on (date) _________________________.
___________________________________
________________________
COMMISSIONER for taking Affidavits
Signature of Deponent

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