AFFIDAVIT / STATUTORY DECLARATION

IN THE [COURT/TRIBUNAL NAME] (if applicable) BETWEEN: [PARTY A] and [PARTY B] (if applicable) DOCUMENT TITLE: [E.G., AFFIDAVIT OF [NAME]]

1. AFFIANT/DECLARANT

I, [FULL NAME], of [ADDRESS], [OCCUPATION],

• [ ] MAKE OATH and say: (Affidavit)
• [ ] DO SOLEMNLY DECLARE: (Statutory Declaration)

2. BASIS OF KNOWLEDGE

Unless otherwise stated, the facts in this Affidavit are within my personal knowledge. Where facts are stated on information and belief, I identify the source.

3. STATEMENT OF FACTS

1. [FACT 1 — personal knowledge]
2. [FACT 2 — personal knowledge]
3. [FACT 3]
4. On information and belief from [SOURCE]: [FACT]
5. [ADDITIONAL FACTS]

4. EXHIBITS

The following documents are attached as exhibits and referred to in this Affidavit:

• Exhibit "A": [DESCRIPTION]
• Exhibit "B": [DESCRIPTION]
• Exhibit "C": [DESCRIPTION]

5. CLOSING

I make this Affidavit/Declaration [for the purpose of PURPOSE] and certify that the statements contained herein are true to the best of my knowledge and belief.

Sworn/Affirmed/Declared before me at [CITY, PROVINCE/STATE] on [DATE].

[AFFIANT/DECLARANT NAME]

Commissioner for Oaths / Notary Public:

Name: _______________________ Commission/Notary Number: _______________________ Expires: _______________________ Signature: _______________________

NOTE: Affidavits must be sworn or affirmed before an authorized official (commissioner of oaths, notary public, lawyer). Statutory declarations are governed by statute (e.g., Canada Evidence Act, Statutory Declarations Act). False statements may constitute perjury or a statutory offence.