AFFIDAVIT / SOLEMN AFFIRMATION / SOLEMN DECLARATION 
 
I, [YOUR NAME] [YOUR IDENTIFYING INFORMATION];
SOLEMNLY DECLARE AS FOLLOWS:
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I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath.
 
Signature:                                                              
Printed Name:                                                       
 
SOLEMNLY DECLARED BEFORE ME at the City of Toronto, Ontario, on:                                         .

Commissioner of Oaths for Ontario
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