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Sample Solemn Declaration
SOLEMN DECLARATION
I, Janice Barbara Brown, a Citizen of Canada, Canadian Citizenship Card # A9514066, born on June 8th 1958; and residing at: 66 Walmer Rd., Toronto, Ontario, M5R 2W9; Tel: (416) 939-4358; SOLEMNLY DECLARE AS FOLLOWS:
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: Date:
SOLEMNLY DECLARED BEFORE ME at the City of Toronto, in the Regional Municipality of Metropolitan Toronto, this day of , 20 .
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