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declaration-under-oath-en

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UNCLASSIFIED / NON CLASSIFIÉ

DECLARATION UNDER OATH


WHERE THE OWNER OF A PLEASURE CRAFT IS UNABLE TO PROVIDE A COPY OF THE BILL OF SALE AND/OR
WHERE THE OWNER IS APPLYING FOR A PLEASURE CRAFT LICENCE FOR A NEW HOME-BUILT BOAT
(sample for example purposes only)
I/We,_______________________________________________________________________________________________________________________________
full name(s)

of _________________________________________________________________________________________________________________________________
street address, city, province & postal code
declare as follows:

That I am/We are the owner(s) of a pleasure craft (licence number if applicable): _____________________________________________________________
That I am/We are the builder(s) of the pleasure craft described below

Make and model of pleasure craft: _________________________________________________________________________________________________

Hull serial number: ____________________Hull material and colour: __________________________________________________ Length: ___________

Propulsion type
Outboard Inboard Jet Aux. Sailing Other (describe): ____________________________________________________________

That I/We purchased the pleasure craft from: _______________________________________________________________________________________________

State why the Bill of Sale cannot be produced: ______________________________________________________________________________________________

___________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________

I/We make this solemn DECLARATION, believing it to be true and knowing it to have the same effect and force as evidence given under the Canada Evidence Act.

______________________________________________________ __________________________________________
Signature of applicant Date (dd-mm-yyyy)

______________________________________________________ __________________________________________
Signature of applicant Date (dd-mm-yyyy)

Declared before me _____________________________________________________________________


Print name of Lawyer, Notary, Justice of the Peace or Commissioner of Oaths

Of ____________________________________________________________________________________________ Phone: ______________________________


street address, city, province & postal code

__________________________________________________________________ __________________________________________
Signature of Lawyer, Notary, Justice of the Peace or Commissioner of Oaths Date (dd-mm-yyyy)

This DECLARATION must be made before a Lawyer, Notary, Justice of the Peace or a Commissioner of Oaths, or
before any person authorized by law to administer oaths in the Province or Territory wherein the Declaration is made.

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