[Rule 13. 19] Court file number




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Form 49
[Rule 13.19]


COURT FILE NUMBER



Clerk’s Stamp

     


COURT


COURT OF QUEEN’S BENCH OF ALBERTA

JUDICIAL CENTRE


     

PLAINTIFF(S)


     

DEFENDANT(S)


     

DOCUMENT


AFFIDAVIT



ADDRESS FOR SERVICE AND

CONTACT INFORMATION OF

PARTY FILING THIS DOCUMENT


     



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].

______________________________________

(Commissioner for Oaths in and for the Province

of Alberta)

______________________________________

PRINT NAME AND EXPIRY/LAWYER

/STUDENT AT LAW


)

)

)



)

)

)



)

)

)



)

)


___________________________________

(Signature)


___________________________________

(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
___________________________________

PRINT NAME AND EXPIRY/LAWYER


/STUDENT-AT-LAW


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