"Affidavit Under the Status of the Artist Act" - Canada

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AFFIDAVIT UNDER THE
AFFIDAVIT UNDER THE STATUS OF THE ARTIST ACT
STATUS OF THE ARTIST ACT
In the matter of
______________________________________________________________
__________________________________________________________
___________________________________________________
(applicant or complainant)
(applicant or complainant)
and
________________________________________________________________________
___________________________________________________
__________________________________________________________
Board File No.
_______________________________________________________________
___________________________________________________
__________________________________________________________
I,
__________________________________________________________________________
__________________________________________________________
___________________________________________________
(name)
of
_________________________________________________________________________
____________________________________________________
___________________________________________________________
(address and title of person making affidavit)
(address and title of person making affidavit)
MAKE OATH AND SAY / AFFIRM that the following facts are true to the best of my knowledge (
AFFIRM that the following facts are true to the best of my knowledge (
AFFIRM that the following facts are true to the best of my knowledge (set
out each statement of fact in a separate, numbered paragraph; use additional sheets if necessary
out each statement of fact in a separate, numbered paragraph; use additional sheets if necessary
out each statement of fact in a separate, numbered paragraph; use additional sheets if necessary):
1.
__________________________________________________________________________
__________________________________________________
_________________________________________________________
2.
__________________________________________________________________________
___________________________________________________
__________________________________________________________
3.
__________________________________________________________________________
____________________________________________________
___________________________________________________________
4.
__________________________________________________________________________
____________________________________________________
___________________________________________________________
Sworn / Affirmed before me at
_________________________
in the province of
in the province of
(city)
_____________________
on
_________
________________
(province)
(date)
(signature)
(signature)
Commissioner of Oaths/Affidavits
Oaths/Affidavits
The personal information provided on this form is collected solely for the purpose of administering the
The personal information provided on this form is collected solely for the purpose of administering the Status of the Artist Act
Status of the Artist Act and may be
accessed by contacting the Board. The information may appear in the Board's written reasons for decision which may be posted
accessed by contacting the Board. The information may appear in the Board's written reasons for decision which may be posted
accessed by contacting the Board. The information may appear in the Board's written reasons for decision which may be posted on the
Board’s Website.
(RDCMS# 414517 - Date revised: 2013)
AFFIDAVIT UNDER THE
AFFIDAVIT UNDER THE STATUS OF THE ARTIST ACT
STATUS OF THE ARTIST ACT
In the matter of
______________________________________________________________
__________________________________________________________
___________________________________________________
(applicant or complainant)
(applicant or complainant)
and
________________________________________________________________________
___________________________________________________
__________________________________________________________
Board File No.
_______________________________________________________________
___________________________________________________
__________________________________________________________
I,
__________________________________________________________________________
__________________________________________________________
___________________________________________________
(name)
of
_________________________________________________________________________
____________________________________________________
___________________________________________________________
(address and title of person making affidavit)
(address and title of person making affidavit)
MAKE OATH AND SAY / AFFIRM that the following facts are true to the best of my knowledge (
AFFIRM that the following facts are true to the best of my knowledge (
AFFIRM that the following facts are true to the best of my knowledge (set
out each statement of fact in a separate, numbered paragraph; use additional sheets if necessary
out each statement of fact in a separate, numbered paragraph; use additional sheets if necessary
out each statement of fact in a separate, numbered paragraph; use additional sheets if necessary):
1.
__________________________________________________________________________
__________________________________________________
_________________________________________________________
2.
__________________________________________________________________________
___________________________________________________
__________________________________________________________
3.
__________________________________________________________________________
____________________________________________________
___________________________________________________________
4.
__________________________________________________________________________
____________________________________________________
___________________________________________________________
Sworn / Affirmed before me at
_________________________
in the province of
in the province of
(city)
_____________________
on
_________
________________
(province)
(date)
(signature)
(signature)
Commissioner of Oaths/Affidavits
Oaths/Affidavits
The personal information provided on this form is collected solely for the purpose of administering the
The personal information provided on this form is collected solely for the purpose of administering the Status of the Artist Act
Status of the Artist Act and may be
accessed by contacting the Board. The information may appear in the Board's written reasons for decision which may be posted
accessed by contacting the Board. The information may appear in the Board's written reasons for decision which may be posted
accessed by contacting the Board. The information may appear in the Board's written reasons for decision which may be posted on the
Board’s Website.
(RDCMS# 414517 - Date revised: 2013)