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Ontario Affidavit of Service Form

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Ontario Affidavit of Service Form
Ontario Affidavit of Service Form
ONTARIO
Court File Number
Form 6B: Affidavit of Service
sworn/affirmed
(Name of court)
at
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).
Lawyers name & address — street & number, municipality, postal
code, telephone & fax numbers and e-mail address (if any).
Respondent(s)
Full legal name & address for service — street & number, municipality,
postal code, telephone & fax numbers and e-mail address (if any).
Lawyers name & address — street & number, municipality, postal
code, telephone & fax numbers and e-mail address (if any).
My name is (full legal name)
I live in (municipality & province)
and I swear/affirm that the following is true:
1.
On
(date) , I served (name of person to be served)
with the following document(s) in this case:
List the
documents
served
Name of document Author (if applicable)
Date when document
signed, issued, sworn, etc.
NOTE: You can leave out any part of this form that is not applicable.
2.
I served the documents mentioned in paragraph 1 by:
Check one
box only and
go to
indicated
paragraph.
special service.
(Go to paragraph 3 below if you used special service.)
mail.
(Go to paragraph 4 if you used mailed service.)
courier.
(Go to paragraph 5 if you used courier.)
deposit at a document exchange.
(Go to paragraph 6 if you used a document exchange.)
fax.
(Go to paragraph 7 if you used fax.)
substituted service or advertisement. (Go to paragraph 8 if you used substituted service or advertisement.)
3.
I carried out special service of the document(s) on the person named in paragraph 1 at
(place or address)
by: leaving a copy with the person.
leaving a copy with
(name)
Check one
box only.
Strike out
paragraphs 4
to 8 and go to
paragraph 9.
who is a lawyer who accepted service in writing on a copy of the document.
who is the person’s lawyer of record.
who is the (office or position)
of the corporation named in paragraph 1.
mailing a copy to the person together with a prepaid return postcard in Form 6 in an envelope bearing
the sender’s return address. This postcard, in which receipt of the document(s) is acknowledged, was
returned and is attached to this affidavit.
Continued on next sheet
(Français au verso)FLR 6B (November 15, 2009)
Ontario Affidavit of Service Form
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