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Australia general form affidav... MAGISTRATES COURT OF WESTERN AUSTRALIA GENERAL FORM OF AFFIDAVIT CRIMINAL JURISDICTION Person making affidavit Court number Magistrates Court at Date filed I name Address Occupation MAKE OATH / AFFIRM AND SAY as follows if insufficient space attach further supporting documents Signature of Sworn/ affirmed At On date Before Registrar/Justice of the Peace or other authorised witness Each page is to be dated and signed by the person making the affidavit and the witness Filed by service Contact details Prosecutor or prosecutor s lawyer Applicant Accused or accused s lawyer Other As above Other Please specify Telephone Email Facsimile Lawyer s ref..

Form 14a affidavit ONTARIO Court File Number Name of court Court office address Form 14A Affidavit general dated. Applicant s Full legal name address for service street number municipality postal code telephone fax and e-mail address if any. Continued on next sheet FLR 14A September 1 2005 Fran ais au verso Num ro de dossier du greffe Nom du tribunal situ e au Adresse du greffe Formule 14A Affidavit formule g n rale dat du Requ rant e s Nom et pr nom officiels et adresse aux fins de signification num ro et rue municipalit code postal num ros de t l phone et de t l copieur et adresse lectronique le cas ch ant. Lawyer s name address street number municipality postal code telephone fax numbers and e-mail address if any. Respondent s My name is full legal name. I live in municipality province. and I swear/affirm that the following is true Set out the statements of fact in consecutively numbered paragraphs. Where possible each numbered paragraph should consist of one complete sentence and be limited to a particular statement of fact. If you learned a fact from someone else you must give that person s name and state that you believe that fact to be true. Nom et adresse de l avocat e num ro et rue municipalit code postal num ros de t l phone et de t l copieur et adresse lectronique le cas ch ant. Intim e s Je m appelle nom et pr nom officiels. J habite municipalit et province. et je d clare sous serment/j affirme solennellement que les renseignements suivants sont v ridiques num rez les d clarations de fait sous forme de paragraphes num rot s cons cutivement. Si possible chaque paragraphe devrait consister en une seule phrase et se limiter une d claration de fait particuli re. Si vous avez appris le fait d une autre personne vous devez donner son nom et indiquer que vous tenez ce fait pour v ridique. Suite la page suivante er English on reverse page 2 Put a line through any blank space left on this page. Sworn/Affirmed before me at. in province state or country date Commissioner for taking affidavits Type or print name below if signature is illegible. Signature This form is to be signed in front of a lawyer justice of the peace notary public or dat du. page 2 Tracez une ligne horizontale en travers de tout espace laiss en blanc sur la pr sente page. D clar sous serment/Affirm solennellement devant moi. en/ /au. province tat ou pays Commissaire aux affidavits Dactylographiez le nom ou crivez-le en caract res d imprimerie ci-dessous si la signature est illisible La pr sente formule doit tre sign e en pr sence d un avocat d un juge de paix d un notaire ou d un. Lawyer s name address street number municipality postal code telephone fax numbers and e-mail address if any. Respondent s My name is full legal name. I live in municipality province. and I swear/affirm that the following is true Set out the statements of fact in consecutively numbered paragraphs. Respondent s My name is full legal name. I live in municipality province. and I swear/affirm that the following is true Set out the statements of fact in consecutively numbered paragraphs. Where possible each numbered paragraph should consist of one complete sentence and be limited to a particular statement of fact.

Osap affidavit form AFFIDAVI T MARITAL STATUS - SINGLE / SOLE SUPPORT NEVER MARRIED IN THE MATTER OF Full Name of Student AND An application to the Ontario Student Assistance Program OSAP THIS AFFIDAVIT IS MADE FOR THE SOLE PURPOSE OF application to OSAP Ontario Student Assistance Program. My current marital status is SINGLE I have never been married* I am the biological custodial and sole-supporting parent of the following child ren NAME OF CHILD CHILD S DATE OF BIRTH The above child ren will be living with me on a FULL-TIME basis during my study period at the following address. I receive monthly child support payments in the amount of. I make this affidavit in support of an application for student financial aid and for no illegal or improper purpose. SWORN before me at the City of this day of 2011 Signature of Student Official stamp required Signature Commissioner for taking Affidavits Note This affidavit must be sworn before a Justice of the Peace Commissioner for Oaths or a lawyer. Protection of privacy The information gathered on this form is collected under the authority of the McMaster University Act 1976. The information is used for the academic administrative financial and statistical purposes of the University including but not limited to admissions registration and maintaining records awards and scholarships convocation provision of student services including access to information systems alumni relations and disclosure to or on behalf of the applicable McMaster student government. This information is protected and is being collected pursuant to section 39 2 and section 42 of the Freedom of Information and Protection of Privacy Act of Ontario RSO 1990. Questions regarding the collection or use of this personal information should be directed to the Director Student Financial Aid Scholarships Gilmour Hall 120 McMaster University. My current marital status is SINGLE I have never been married* I am the biological custodial and sole-supporting parent of the following child ren NAME OF CHILD CHILD S DATE OF BIRTH The above child ren will be living with me on a FULL-TIME basis during my study period at the following address. I receive monthly child support payments in the amount of. I make this affidavit in support of an application for student financial aid and for no illegal or improper purpose. I receive monthly child support payments in the amount of. I make this affidavit in support of an application for student financial aid and for no illegal or improper purpose. SWORN before me at the City of this day of 2011 Signature of Student Official stamp required Signature Commissioner for taking Affidavits Note This affidavit must be sworn before a Justice of the Peace Commissioner for Oaths or a lawyer. SWORN before me at the City of this day of 2011 Signature of Student Official stamp required Signature Commissioner for taking Affidavits Note This affidavit must be sworn before a Justice of the Peace Commissioner for Oaths or a lawyer. Protection of privacy The information gathered on this form is collected under the authority of the McMaster University Act 1976.

Form 36 divorce ONTARIO Court File Number Name of court at Form 36 Affidavit for Divorce Court office address Applicant s Full legal name address for service street number municipality postal code telephone fax numbers and e-mail address if any. Er FLR 36 1 septembre 2005 Suite la page suivante English on reverse page 2 The legal basis for the divorce is that the respondent and I have been separated for at least one year. FLR 36 September 1 2005 Continued on next sheet Fran ais au verso Num ro de dossier du greffe Nom du tribunal situ e au Formule 36 Affidavit de divorce Adresse du greffe Requ rant e s Nom et pr nom officiels et adresse aux fins de signification num ro et rue municipalit code postal num ros de t l phone et de t l copieur et adresse lectronique le cas ch ant. Respondent s My name is full legal name I live in municipality province and I swear/affirm that the following is true I am the applicant in this divorce case. There is no chance of a reconciliation between the respondent and me. All the information in the application in this case is correct except State any corrections or changes to the information in the application. Write NONE if there are no corrections or changes. The certificate or registration of my marriage to the respondent has been signed and sealed by the Registrar General of Ontario and has been filed with the application. is attached to this affidavit. Lawyer s name address street number municipality postal code telephone fax numbers and e-mail address if any. Respondent s My name is full legal name I live in municipality province and I swear/affirm that the following is true I am the applicant in this divorce case. There is no chance of a reconciliation between the respondent and me. All the information in the application in this case is correct except State any corrections or changes to the information in the application* Write NONE if there are no corrections or changes. The certificate or registration of my marriage to the respondent has been signed and sealed by the Registrar General of Ontario and has been filed with the application* is attached to this affidavit. It was issued at place of issue on date by name and title of person who issued certificate and the information in it about my marriage is correct. I have not been able to get a certificate or registration of my marriage. I was married to the respondent on date at place of marriage The marriage was performed by name and title who had the authority to perform marriages in that place. Nom et adresse de l avocat e num ro et rue municipalit code postal num ros de t l phone et de t l copieur et adresse lectronique le cas ch ant. Intim e s Je m appelle nom et pr nom officiels J habite municipalit et province et je d clare sous serment/j affirme solennellement que les renseignements suivants sont v ridiques Je suis le/la requ rant e dans cette cause de divorce. Il n existe aucune possibilit de r conciliation entre l intim e et moi-m me. Tous les renseignements contenus dans la requ te qui fait l objet de cette cause sont exacts l exception de ce qui suit Indiquez les corrections ou modifications apporter aux renseignements.

Georgia t 11 form T-11 (Rev.07-2005) Affidavit of Correction Date: TO WHOM IT MAY CONCERN: The strikeover on the assignment of the attached Manufacturer's Certificate of Origin or Certificate of Title for the following

Michigan pre affidavit form Michigan Department of Treasury 2368 (Rev. 04-09) Reset Form Principal Residence Exemption (PRE) Affidavit Issued under authority of Public Act 206 of 1893. Read the instructions page before completing

Request for modification and a... INCOME/EXPENSES FOR HOUSEHOLD'. REQUEST FOR MODIFICATION AND AFFIDAVIT (RMA) page 2 -COMPLETE ALL TH REE PAGES OF THIS FORM ...

Affidavit of assets and liabil... r 398(1), (2) Form P(R) 1 Affidavit of assets and liabilities Property (Relationships) Act 1976 In the Family Court at .......................................... ................................................

Texas non foreign affidavit un... NON-FOREIGN AFFIDAVIT UNDER INTERNAL REVENUE CODE SECTION 1445(b)(2) STATE OF TEXAS ) COUNTY OF ) I/WE, , the 'Seller(s)', being first duly sworn, state under penalties of perjury: 1. That

Ohio transfer on death designa... Transfer on Death Designation Affidavit from Individual to Two Individuals as tenants in common: This affidavit is used to transfer the title of a parcel of land, attaching any existing covenants,

Financial affidavit long form... IN THE CIRCUIT COURT OF THE THIRTEENTH JUDICIAL CIRCUIT HILLSBOROUGH COUNTY, FLORIDA FAMILY LAW DIVISION IN RE the marriage of , Petitioner, vs. , Respondent. / CERTIFICATE OF COMPLIANCE WITH UNCONTESTED

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