Form 49
[Rule 13.19]
COURT FILE NUMBER
COURT
COURT OF QUEENS BENCH OF ALBERTA
JUDICIAL CENTRE
PLAINTIFF(S)
DEFENDANT(S)
DOCUMENT
AFFIDAVIT
ADDRESS FOR SERVICE AND
CONTACT INFORMATION OF
PARTY FILING THIS DOCUMENT
Clerks Stamp
AFFIDAVIT OF [name]
Sworn (or Affirmed) on [date], 20
I, , of Alberta, SWEAR/AFFIRM AND SAY THAT:
1.
2.
3.
SWORN (OR AFFIRMED) BEFORE ME at [City],
Alberta, this [Date] day of [Month], 20[Year].
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(Commissioner for Oaths in and for the Province
of Alberta)
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PRINT NAME AND EXPIRY/LAWYER
/STUDENT-AT-LAW
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(Signature)
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(Print Name)
This is exhibit __ referred to in the affidavit of ___________sworn before me on _________, 20______.
__________________________________
A Commissioner of Oaths for
the Province of Alberta
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PRINT NAME AND EXPIRY/LAWYER
/STUDENT-AT-LAW