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Statutory declaration of marital status

Declare whether you are single, married, common-law, separated, divorced or widowed.

When to use this

Institutions ask for a sworn declaration of marital status for immigration, pension, insurance and records purposes.

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STATUTORY DECLARATION
(Canada Evidence Act / Evidence Act, Ontario)

I, [full legal name], of the City of [city], in the Province of Ontario, DO SOLEMNLY DECLARE THAT:

1. My current marital status is [single / married / common-law / separated / divorced / widowed].
2. [If applicable] This status has been in effect since [date], being the date of my [marriage / separation / divorce / spouse’s death].
3. [Any further relevant facts, e.g. spouse’s name, place of marriage.]
4. I make this declaration for the purposes of [institution / purpose].

And I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.

____________________________            ____________________
Signature of declarant                          Date

Declared before me at the City of [city], in the Province of Ontario, this [day] day of [month], [year].

____________________________
A Commissioner for Taking Affidavits in and for Ontario

Unfilled details stay as [bracketed prompts]. Do not sign yet — sworn, affirmed or witnessed documents must be signed in front of the commissioner during your appointment. General information, not legal advice; acceptance is up to the receiving institution.

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Once it’s filled in, book Statutory declarations — from $25.00 + HST — and sign it properly in front of a commissioner.

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