Form 14a: Affidavit (General) Dated Page 2
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1
2Form 14A:
Affidavit (general) dated
(page 2)
Court File Number
Put a line through any blank space left on this page.
Sworn/Affirmed before me at
municipality
in
province, state, or country
on
Date
Signature
Commissioner for taking affidavits
(This form is to be signed in front of a
(Type or print name below if signature is illegible.)
lawyer, justice of the peace, notary public
or commissioner for taking affidavits.)
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FLR-14A-E (2005/09)
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