Affidavit Of Default Of Payment Page 2

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FORM 20M
PAGE 2
Claim No.
I may enforce the judgment [R. 20.02(3)]. The debtor(s)
(Name(s) of debtor(s))
failed to make payment in accordance with the order for periodic payment dated
(Check
appropriate
, 20
and fifteen (15) days have passed since the the debtor(s) has/have
box and
complete
been served with a Notice of Default of Payment (Form 20L) at the following address(es):
paragraph.)
(Address(es) of debtor(s))
A Consent (Form 13B) in which the creditor waives the default has not been filed.
4. The unpaid balance is calculated as follows:
(A) DEBT
$
(B) PRE-JUDGMENT INTEREST calculated
on the sum of $
at the rate of
%
per annum from
, 20
,
being
days.
$
NOTE:
Calculation of interest is always on the amount owing from time to time as
payments are received. This is true for both pre-judgment and post-judgment
interest. Attach a separate sheet setting out how you calculated the total amount of
any pre/post-judgment interest.
SUBTOTAL (amount of judgment) $
(C) COSTS to date of judgment
$
(D) TOTAL AMOUNT OF PAYMENTS RECEIVED FROM DEBTOR
after judgment (if any)
(minus) $
(E) POST-JUDGMENT INTEREST to date calculated
on the sum of
at the rate of
$
%
per annum from
, 20
,
being
days.
$
(F) SUBSEQUENT COSTS incurred after judgment (including the cost of serving the
Notice of Default of Payment (Form 20L))
$
TOTAL DUE $
Sworn/Affirmed before me at
(Municipality)
in
Signature
(Province, state or country)
(This form is to be signed in front of a lawyer, justice of
on
, 20
the peace, notary public or commissioner for taking
Commissioner for taking affidavits
affidavits.)
(Type or print name below is 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-20M-E (2014/01)

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