Declaration To Sheriff Page 2

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Form 28B:
Statutory Declaration to Sheriff
(page 2)
Court file number
7. The amount in paragraph 3 includes $
as a fine for contempt of this court, a forfeited
bond or a forfeited recognizance arising out of a civil proceeding and made payable to,
Her Majesty the Queen
other
(Specify.)
and, under subsection 143(3) of the Courts of Justice Act, the writ of seizure and sale can be executed immediately
to collect that amount without a direction to enforce.
Declared before me at
municipality
in
province, state or country
Signature
on
(This form is to be signed in front of a
lawyer, justice of the peace, notary public
date
Commissioner for taking affidavits
(Type or print name below if signature is illegible.)
or commissioner for taking affidavits.)
Save Form
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FLR-28B-E (2007/06)

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