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Affidavit For Jurisdiction

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Affidavit for Jurisdiction

ONTARIO

Superior Court of Justice

Form 11A Ont. Reg. No.: 258/98

Small Claims Court

Claim No.

Address

Phone Number

BETWEEN

Plaintiff(s)

and

Defendant(s)

My name is

(Full name)

I live in

(Municipality & province)

and I swear/affirm that the following is true:

1. In this action, I am the

Plaintiff

representative of the plaintiff

(Name of plaintiff(s))

2. I make this affidavit in support of the plaintiff’s request to note the defendant(s) in default, where all the defendants have been

or will be served outside the court’s territorial division [R. 11.01 (3)].

3. The plaintiff is entitled to proceed with this action in this territorial division because this is:

where the event (cause of action) took place.

where the defendant lives or carries on business.

the court nearest to the place where the defendant lives or carries on business [R. 6.01].

Sworn/Affirmed before me at

(Municipality)

Signature

(Province, state or country)

(This form is to be signed in front of a lawyer,

justice of the peace, notary public or

, 20

commissioner for taking affidavits.)

Commissioner for taking affidavits

(Type or print name below if signature is

illegible.)

WARNING: IT IS AN OFFENCE UNDER THE CRIMINAL CODE TO KNOWINGLY SWEAR OR AFFIRM A FALSE AFFIDAVIT.

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RSCC-11A-E (2014/01)

Affidavit For Jurisdiction

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