[{"id":"46141884-f736-4634-b0f6-01b452b56453","order":1,"text":"CANADA","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"2","cflou":false,"active":true},{"id":"c48f6d81-e6d8-4b05-b5e5-d2700a543ace","order":2,"text":"IN AND FOR the Province of Ontario","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"2","cflou":false,"active":true},{"id":"cf3bd880-6c3e-4bb0-aaad-c6b1ca190808","order":3,"text":"TO WIT:","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"26","cflou":false,"active":true},{"id":"d011f914-caa5-4385-8d28-8ac29939a8c5","order":4,"text":"STATUTORY DECLARATION OF CHANGE OF NAME","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"183f33c6-9f95-45f5-899a-f1ceef3dd8a1","order":5,"text":"IN THE MATTER OF the change of name of [Full present legal name],","fontSize":"14","textAlign":"center","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"19e02ca8-4b4c-4bcf-9de2-53be54394bb0","order":6,"text":"AND IN THE MATTER OF the Canada Evidence Act, R.S.C. 1985, c. C-5, and of the evidence legislation of the province or territory in which this declaration is made","fontSize":"14","textAlign":"center","bold":false,"underline":false,"marginBottom":"28","cflou":false,"active":true},{"id":"8f307e17-f540-4f34-9199-aff5f1c4e029","order":7,"text":"I, Ms [Full present legal name], of [Street address], [City or town] [Postal code], in the Province of Ontario, [Occupation], DO SOLEMNLY DECLARE THAT:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true},{"id":"f64c09b3-e9ed-4eeb-b71b-a7fc2de7475a","order":8,"text":"1. THE DECLARANT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S01"},{"id":"d54fa1d5-010d-4912-bff3-8fec4be5bbf1","order":9,"text":"I am the declarant named in this declaration and I have personal knowledge of the facts and matters set out in it, save where those facts and matters are stated to be based upon information and belief, in which case I identify the source of that information and verily believe it to be true.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"dcd890fe-e48c-4127-bd4c-0cc4cda9da4c","order":10,"text":"I am over the age of eighteen years, I am of sound mind, and I am competent to make this declaration.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"e1511b53-0790-4589-ae2d-8b68cdacc299","order":11,"text":"I was born on [Date of birth] at [City and country of birth], and I am a Canadian citizen.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"51f4b042-dfee-4e50-a67e-867ea6d117c5","order":12,"text":"I make this declaration of my own free will, without coercion, inducement, promise or undue influence of any kind, and with full understanding of its nature, its purpose and its consequences.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"61593250-84e0-4770-a3a1-2da1b03ed132","order":13,"text":"2. DEFINITIONS AND INTERPRETATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S02"},{"id":"d3378316-b86f-4ac4-8af5-f52c55a2dbb5","order":14,"text":"In this declaration the following terms have the following meanings.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"48de5cfe-0d02-4add-9b1e-88d0f3569675","order":15,"text":"\"Former Name\" means the name by which I was known before the change of name declared in this document, being the name set out in the article entitled \"The Former Name\".","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"631a3c8b-0ee5-495c-8682-00da8eefb209","order":16,"text":"\"Present Name\" means my present legal name, being the name set out in the article entitled \"The Present Name\".","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"6bf82174-af76-486a-90d7-6cb7031aeecf","order":17,"text":"\"Records\" means every document, register, account, file, policy, licence, permit, certificate, title, deed, entry and record of any kind, whether in paper or in electronic form, in which my name appears or is recorded.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"8ec61c11-245d-4c7e-8334-3e3d6f69ed3d","order":18,"text":"\"Recipient\" means any person, public authority, financial institution, employer or other body to whom or to which this declaration is produced, and includes their respective successors and assigns.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"81dda814-e3a5-4baa-ad69-3acf630cbe58","order":19,"text":"In this declaration the singular includes the plural and the plural includes the singular; words importing one gender include every other gender; the word \"including\" means \"including without limitation\"; a reference to a statute is a reference to that statute as amended, re-enacted or replaced from time to time; and the headings are inserted for convenience of reference only and do not affect the construction of this declaration.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"887f64ba-acf1-4394-8524-9b5821b26e06","order":20,"text":"3. IDENTIFICATION OF THE DECLARANT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S03"},{"id":"f824fe0d-6844-4fbe-bc9f-b6d31b80c2bf","order":21,"text":"For the purpose of establishing my identity I produce to the person before whom this declaration is made a Canadian passport, bearing the number [Number of the identity document] and issued by [Issuing authority].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"7f1165a1-4d0b-43d0-8171-d246f1458a08","order":22,"text":"That document was issued to me, has not been altered in any respect, and expires on [Expiry date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"3951da97-0b0c-4756-a194-6d0207c2c265","value":"a Canadian passport","type":"add","operator":"="},{"field":"3951da97-0b0c-4756-a194-6d0207c2c265","value":"a provincial or territorial driver's licence","type":"add","operator":"="},{"field":"3951da97-0b0c-4756-a194-6d0207c2c265","value":"a provincial or territorial photo identification card","type":"add","operator":"="},{"field":"3951da97-0b0c-4756-a194-6d0207c2c265","value":"a permanent resident card","type":"add","operator":"="},{"field":"3951da97-0b0c-4756-a194-6d0207c2c265","value":"a foreign passport","type":"add","operator":"="}]},{"id":"7041e4c4-efac-4a4f-aea2-ec443344e087","order":23,"text":"That document was issued to me, has not been altered in any respect, and bears no expiry date.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"3951da97-0b0c-4756-a194-6d0207c2c265","value":"a Canadian citizenship certificate","type":"add","operator":"="},{"field":"3951da97-0b0c-4756-a194-6d0207c2c265","value":"a certificate of Indian status","type":"add","operator":"="}]},{"id":"dda42245-926d-4b90-96e3-fa3f0add4fe3","order":24,"text":"I authorize the person before whom this declaration is made to record the particulars of that document in the jurat or in any register kept by that person for that purpose.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"61f00c48-5ec9-4a75-b38c-5bcb45309d5f","order":25,"text":"4. THE FORMER NAME","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S04"},{"id":"6672571d-2ebf-467e-9dde-634566175d90","order":26,"text":"Before the change of name declared in this document took effect, I was known by, and my name was lawfully recorded as, [Full former legal name].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"c98a4ec2-e9b6-443b-8a0c-83cedf19c7bc","order":27,"text":"The Former Name appears on my birth certificate and on the other documents, Records and accounts issued to me or opened in my name before the change of name declared in this document.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"1c643f38-11ff-49b0-a0ba-0f2615f8f335","order":28,"text":"Save where its use has been unavoidable in order to identify me by reference to a document or a Record which has not yet been amended, I have ceased to use the Former Name for all purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"6b134a41-1ad7-4655-941d-335b25dfa659","order":29,"text":"5. THE PRESENT NAME","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S05"},{"id":"56d5ba11-6057-476c-bbb0-efc46ec6daf4","order":30,"text":"My present, sole and only legal name is [Full present legal name].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"6074a3fb-15ae-4475-a838-3b2d28a406ae","order":31,"text":"I have used the Present Name openly, continuously and exclusively for all purposes since [Date from which the present name has been used], and I intend to continue to use it for all purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"c40127b1-2b76-4a5d-9e4a-17e9aefc6fd6","order":32,"text":"Apart from the Former Name and the Present Name, and apart from any variant spelling or form of either of them recorded in the Records referred to in this declaration, I use and have used no other name, alias, assumed name or style, whether in my personal affairs, in my trade, business or profession, or otherwise.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"7a38696a-541e-48e7-a53f-47ea3d0fb88e","order":33,"text":"6. BASIS OF THE CHANGE OF NAME","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S06"},{"id":"75ac86c7-df0a-4c88-844f-309dd799b0dc","order":34,"text":"The change of my name came about in the manner set out below.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"3b7f6699-683d-4394-a372-795eab1c0810","order":35,"text":"I applied for a change of my name in accordance with the change of name legislation of my province or territory of residence, and that change of name was registered by [Registrar or authority].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"1db8d7f0-255e-499f-8b1a-4b21f76d845b","value":"registered","type":"add","operator":"="}]},{"id":"073635b8-e56c-4923-bf2f-a3ea5014db6f","order":36,"text":"The registration bears the number [Registration or certificate number] and took effect on [Date of registration]. The certificate of change of name issued by that authority is produced with this declaration and evidences the change of my name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"1db8d7f0-255e-499f-8b1a-4b21f76d845b","value":"registered","type":"add","operator":"="}]},{"id":"d5b8624c-6745-45ae-bbf4-fe201b42dcee","order":37,"text":"On [Date of marriage] I was lawfully married at [Place of marriage] to [Full name of the spouse], and from that date I have used the surname of my spouse in the ordinary conduct of my affairs.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"1db8d7f0-255e-499f-8b1a-4b21f76d845b","value":"marriage","type":"add","operator":"="}]},{"id":"3c0a64c7-d12c-4016-9e0a-d226dd8cd290","order":38,"text":"My marriage certificate is produced with this declaration and evidences the marriage. I have not renounced the use of the surname of my spouse, and I use it as my own for all purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"1db8d7f0-255e-499f-8b1a-4b21f76d845b","value":"marriage","type":"add","operator":"="}]},{"id":"f84975ce-384d-4f58-b5de-2f737df4ca19","order":39,"text":"My marriage was dissolved or annulled by an order of [Court which granted the order] made on [Date of the order] and bearing court file number [Court file number].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"1db8d7f0-255e-499f-8b1a-4b21f76d845b","value":"dissolution","type":"add","operator":"="}]},{"id":"78ca046b-fbbc-4b0f-9d20-1cf5f16058b6","order":40,"text":"Following that order I resumed the surname by which I was known before that marriage, and the certificate of divorce or the order of the court is produced with this declaration.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"1db8d7f0-255e-499f-8b1a-4b21f76d845b","value":"dissolution","type":"add","operator":"="}]},{"id":"5403babc-def5-4e4f-92d9-81c581fdaa2b","order":41,"text":"My name was changed to the Present Name by [Nature of the order], made by [Court or authority which made the order] on [Date of the order] and bearing file or order number [File or order number].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"1db8d7f0-255e-499f-8b1a-4b21f76d845b","value":"order","type":"add","operator":"="}]},{"id":"4c0eb36e-da94-4c76-b87c-123e85716be6","order":42,"text":"A copy of that order is produced with this declaration, and the change of my name took effect by operation of law upon the making of that order.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"1db8d7f0-255e-499f-8b1a-4b21f76d845b","value":"order","type":"add","operator":"="}]},{"id":"b8c64d54-945e-4156-a8d9-968da0a808c8","order":43,"text":"I assumed the Present Name by usage and repute, without any formal registration, and I have been generally and exclusively known by it for approximately [Number of years] years. The circumstances in which I came to use the Present Name are as follows: [Circumstances in which the present name came to be used].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"1db8d7f0-255e-499f-8b1a-4b21f76d845b","value":"usage","type":"add","operator":"="}]},{"id":"14ce2572-c20f-4ade-9de6-a11c09b2e84b","order":44,"text":"I am known by the Present Name to my family, to my employer or to my clients, to the financial institutions with which I deal and to the community in which I live. No registration of the change of my name has been effected, and this declaration is made in support of the recognition of the Present Name and, where registration is required by the law of my province or territory of residence, in support of an application for that registration.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"1db8d7f0-255e-499f-8b1a-4b21f76d845b","value":"usage","type":"add","operator":"="}]},{"id":"5a6dfab0-0f8c-4562-8687-e098955ae751","order":45,"text":"7. ONE AND THE SAME PERSON","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S07"},{"id":"25c40d18-5334-4fa6-900f-9d518038959e","order":46,"text":"I am one and the same person as the person named as [Full former legal name] in every Record in which that name appears, and as the person named as [Full present legal name] in every Record in which the Present Name appears.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"0c0e034a-bf73-4be8-9d4a-3121ed0870f5","order":47,"text":"Any difference between the Former Name and the Present Name, and any variation in the spelling, in the order of the given names and the surname, or in the presentation of either of them appearing in any Record, refers to me and to no other person.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"7d7fc871-7aaf-4097-8d06-08fea2d88d92","order":48,"text":"My name has been recorded consistently in the documents and Records referred to in this declaration, and no variant spelling or variant form of either the Former Name or the Present Name appears in them.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"b744de43-970d-4fb0-a5a9-cd3450c79298","value":"no","type":"add","operator":"="}]},{"id":"896a1c88-9536-4c3d-a73c-fffcdf286faf","order":49,"text":"The following variant spellings and variant forms of my name also appear in certain of the documents and Records referred to in this declaration: [Variant spellings and forms of the name].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"b744de43-970d-4fb0-a5a9-cd3450c79298","value":"yes","type":"add","operator":"="}]},{"id":"78bb50be-0ac7-4338-ad7c-2eab355a1519","order":50,"text":"Each of those variants was intended to designate me, refers to me and to no other person, and is to be read for all purposes as a reference to the Present Name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"b744de43-970d-4fb0-a5a9-cd3450c79298","value":"yes","type":"add","operator":"="}]},{"id":"6fd97c1a-2470-45b3-9a63-8a7f8f90c56f","order":51,"text":"To the best of my knowledge, information and belief, there is no other person who is or has been known by both the Former Name and the Present Name in the circumstances described in this declaration.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"9092582f-3546-49c1-b363-fd891d2f3aff","order":52,"text":"8. EARLIER CHANGES OF NAME","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S08"},{"id":"f274ef6c-9af1-4a73-b9dd-be8e35ae2ad4","order":53,"text":"Apart from the change of name declared in this document, I have not at any time changed, assumed, adopted or used any name other than the Former Name and the Present Name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c8d0f242-89a6-413d-92c6-df9bf12e6fc4","value":"no","type":"add","operator":"="}]},{"id":"f3cf7afd-26e3-4d06-a121-59f58afe5c95","order":54,"text":"Apart from the change of name declared in this document, I have at an earlier time changed or assumed another name. The particulars of that earlier change of name, or of those earlier changes of name, are as follows: [Particulars of the earlier change or changes of name].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c8d0f242-89a6-413d-92c6-df9bf12e6fc4","value":"yes","type":"add","operator":"="}]},{"id":"146a6414-f356-4cbc-b2af-a87164bf66d6","order":55,"text":"I have disclosed those particulars fully and without reservation, and I make no reservation as to any name by which I have at any time been known.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c8d0f242-89a6-413d-92c6-df9bf12e6fc4","value":"yes","type":"add","operator":"="}]},{"id":"d47ed5a2-95ff-4d55-b983-9a5245064c75","order":56,"text":"9. ABSENCE OF IMPROPER PURPOSE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S09"},{"id":"66ba2cc4-9969-48b4-a836-de0a4f965705","order":57,"text":"The change of my name was not made, and this declaration is not made, for any improper, fraudulent or unlawful purpose.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"65095573-6dd0-40c5-87f2-0407e8a7ac6a","order":58,"text":"Without limiting the generality of the preceding paragraph, the change of my name was not made for the purpose of evading or defeating any creditor or claimant; of avoiding, delaying or hindering the enforcement of any judgment, order, support obligation or other legal obligation; of concealing or avoiding responsibility for any offence, charge, conviction, sentence, probation order or condition of release; of evading any obligation arising in any bankruptcy, insolvency or receivership proceeding; of misleading any public authority; or of assuming or making use of the identity of any other person.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"62402a80-8c2b-462b-852a-18665454a3c3","order":59,"text":"I am not prohibited or restricted by any statute, court order, undertaking or condition of release from changing my name or from using the Present Name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"3d80f700-b421-49f1-847c-d44fd5e1a3c9","order":60,"text":"Where I am under an obligation imposed by statute, by court order or by a condition of release to report a change of my name to any authority, I have complied with that obligation or shall comply with it forthwith upon making this declaration.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"ff79fa70-0fc9-4578-a79b-e2220e596662","order":61,"text":"10. LEGAL PROCEEDINGS, JUDGMENTS AND CONTINUING OBLIGATIONS","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S10"},{"id":"ae348c29-6b32-4ef7-be40-a65f61edf00d","order":62,"text":"I am not a party to any legal proceeding, and no judgment, order or writ of execution is outstanding against me, whether under the Former Name or under the Present Name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"f4673363-a193-4817-b370-22928ea77422","value":"no","type":"add","operator":"="}]},{"id":"dcfdc8be-6fdf-423b-9794-7db1f9b357d7","order":63,"text":"I am or have been a party to a legal proceeding, or a judgment, order or writ of execution subsists against me, the particulars of which are as follows: [Particulars of the proceeding, judgment or order].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"f4673363-a193-4817-b370-22928ea77422","value":"yes","type":"add","operator":"="}]},{"id":"103fee59-5c2a-42f7-a7b1-443b5388cad9","order":64,"text":"The change of my name does not and shall not affect any right, obligation, liability, interest or item of property vested in me or binding upon me under the Former Name, each of which continues in full force and effect and remains enforceable by me and against me under the Present Name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"9bf8b057-40d6-4e0f-ba6f-cfbd52bad93e","order":65,"text":"I remain bound by every contract, covenant, guarantee, undertaking, security interest, debt and obligation entered into or assumed by me under the Former Name, and I remain entitled to every benefit accruing to me under that name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"dcd79be5-c1d6-429f-9f7f-0bf2db3d7b2a","order":66,"text":"I am not an undischarged bankrupt, and no assignment, proposal, receiving order or receivership subsists in respect of me under any bankruptcy or insolvency legislation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"f4673363-a193-4817-b370-22928ea77422","value":"no","type":"add","operator":"="}]},{"id":"29d63491-6141-41e6-bba0-d10421adeab6","order":67,"text":"Save as disclosed above, I am not an undischarged bankrupt, and no assignment, proposal, receiving order or receivership subsists in respect of me under any bankruptcy or insolvency legislation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"f4673363-a193-4817-b370-22928ea77422","value":"yes","type":"add","operator":"="}]},{"id":"6bac3fbf-156a-4d11-8040-89b8740c7e2d","order":68,"text":"11. USE OF THE PRESENT NAME AND AMENDMENT OF RECORDS","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S11"},{"id":"c14e2a48-24af-439f-b662-3e48bd1fc708","order":69,"text":"I request that every Recipient, and every other person, public authority, insurer, professional body, educational institution, registrar and keeper of records who holds any Record in the Former Name, amend that Record so that it stands in the Present Name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"37b68bca-23bc-478e-912a-12d2c21714c5","order":70,"text":"The Records which I request be amended include those listed in Schedule B to this declaration.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"5ff2be17-6521-4342-b64e-c88cfd9be6ca","order":71,"text":"I undertake to surrender, or to procure the amendment of, any identity document issued to me in the Former Name as and when required to do so by the authority which issued it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"0dd1d218-65ae-444a-a9aa-d03c4f852531","order":72,"text":"12. DOCUMENTS PRODUCED IN SUPPORT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S12"},{"id":"8612d47f-bdfe-4ad6-9670-24b3c18ff790","order":73,"text":"In support of this declaration I produce the documents listed in Schedule A to this declaration, each of which is a true copy of an original document issued to me or held by me.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"854df53b-d2d2-4084-b568-d41bd5b0193e","order":74,"text":"The documents so produced establish the Former Name, establish the Present Name and establish the connection between them. I have made the originals of those documents available for inspection by the person before whom this declaration is made.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"cb07ba42-a2c2-4d1b-99f4-b8b924a98d75","order":75,"text":"Where a Recipient so requires, the documents produced with this declaration are to be marked as exhibits and initialled by the person before whom this declaration is made.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"07a8f000-6b99-4629-8f44-8f94fd89bce5","order":76,"text":"13. RELIANCE, AUTHORIZATION AND INDEMNITY","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S13"},{"id":"75614778-2d86-44be-906b-0cb2b3b60666","order":77,"text":"This declaration may be relied upon as evidence of the matters declared in it by every Recipient.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"c894a02b-8dc9-42ed-bba8-44cd3f86f78e","order":78,"text":"I authorize each Recipient to amend its Records accordingly and, for that purpose, to collect, use and disclose the personal information contained in this declaration and in the documents produced with it, to the extent necessary to give effect to the amendment of those Records and to verify the matters declared, in accordance with the privacy legislation applicable to that Recipient.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"89ea248d-7980-4385-a64b-84fb16d43694","order":79,"text":"I shall indemnify and hold harmless every Recipient which acts in reliance upon this declaration against any loss, cost, claim, demand, expense or liability suffered or incurred by reason of any statement contained in it being untrue, and I acknowledge that this indemnity is given for the purpose of inducing reliance upon this declaration.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"430dab51-1d57-48f2-9ab2-f1372e80e19f","order":80,"text":"14. GOVERNING LAW AND PRODUCTION OF THIS DECLARATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S14"},{"id":"429531fe-ad0f-4ba8-8183-67fb568cd157","order":81,"text":"This declaration is made in the Province of Ontario and is to be construed in accordance with the laws in force in that jurisdiction and the laws of Canada applicable in it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"1042d2f9-dcf3-45e6-96c9-a6b308971ca6","order":82,"text":"This declaration may be made in as many original counterparts as the Recipients may require, and each counterpart so made and declared shall constitute an original for all purposes.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"05d9ea4a-df50-4603-a4ce-ca977d5f7d6e","order":83,"text":"Where this declaration is to be produced to a Recipient which conducts its affairs in the French language, I shall provide a translation of it certified by a competent translator, and that translation shall be read together with this declaration.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"2d6579ca-f972-446c-8a95-48ca4b5db518","order":84,"text":"I shall bear the cost of making this declaration and of obtaining the certified copies produced with it, and no Recipient shall be liable to me for any cost, delay or consequence arising from the amendment of its Records in accordance with it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"82fafa80-a4ce-4b55-9f5b-73d4e9181e36","order":85,"text":"15. CONTINUING EFFECT AND SEVERABILITY","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S15"},{"id":"c580f1fd-caad-4842-9f6b-2456c292a548","order":86,"text":"This declaration speaks from the date on which it is made, is not revocable by me, and remains in force until it is superseded by a further declaration, by an order of a court or by a registration having the effect of changing my name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"adc65a0c-b939-40f3-b53d-9eb805ccc451","order":87,"text":"Nothing in this declaration is intended to effect a change of name which, under the law of my province or territory of residence, may be effected only by the registrar general, the director of civil status or another competent authority. Where such a registration is required, this declaration is made in support of that registration and not in substitution for it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"d276a5db-025f-4f0e-bc96-f06d6cac97d1","order":88,"text":"This declaration relates to my own name only. It does not effect, evidence or authorize any change to the name of any other person, including that of any child, and it does not affect the parentage, the civil status or the citizenship of any person.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"7af04819-94bd-44d4-b6e0-211fa9b7ddd9","order":89,"text":"If any part of this declaration is found to be invalid or unenforceable, that part shall be severed and the remainder shall continue to have full force and effect.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"707c12bc-77d3-4675-a7df-24ccaf247301","order":90,"text":"16. LANGUAGE OF THIS DECLARATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"0e6b9d4b-aca8-451d-a98e-b4c1e332aa1d","value":"yes","type":"add","operator":"="}],"marginTop":"22","sectionNum":"S16"},{"id":"b7132007-4873-4414-b7d5-9981ac5cb66a","order":91,"text":"This declaration was read over and interpreted to me from the English language into [Language of interpretation] by [Full name of the interpreter] before I signed it.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"0e6b9d4b-aca8-451d-a98e-b4c1e332aa1d","value":"yes","type":"add","operator":"="}]},{"id":"df4e29c9-210a-46b0-9e41-9b288afd30d1","order":92,"text":"I understood the whole of its contents before making it, and I made each of the statements contained in it through that interpreter.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"0e6b9d4b-aca8-451d-a98e-b4c1e332aa1d","value":"yes","type":"add","operator":"="}]},{"id":"e0204eb3-0a9e-4918-9ff4-163e5b4a8bb7","order":93,"text":"17. TRUTH OF THIS DECLARATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"22","sectionNum":"S17"},{"id":"b3d04d25-82cd-489d-b65e-e4813bf0ec8a","order":94,"text":"This declaration is made for [Purpose for which this declaration is made] and for no other or improper purpose.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"65a0bf65-be4a-4354-b122-8e2226491f7e","order":95,"text":"I understand that this declaration is made under the Canada Evidence Act and under the evidence legislation of the province or territory in which it is made, that it has the same force and effect as if made under oath, and that knowingly making a false statement in it with intent to mislead is an offence under the Criminal Code of Canada.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"e6d58f94-cbc0-49c3-90ce-f44499aa00a6","order":96,"text":"Each of the statements contained in this declaration is true to the best of my knowledge, information and belief.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"1cadb2ba-49cd-4777-8940-8dd99f163b6c","order":97,"text":"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.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"marginTop":"20"},{"id":"95386f19-fb46-4a1a-a75c-603021da1727","order":98,"text":"DECLARED BEFORE ME at [City or town], in the Province of Ontario, on [Date of the declaration].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"34","cflou":false,"active":true},{"id":"b686226c-0fed-4087-a7f4-e356e1fd3bea","order":99,"text":"_____________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"744412f4-bb18-496b-91f8-43a6577ed601","order":100,"text":"[Full present legal name], Declarant","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"34","cflou":false,"active":true},{"id":"ea940c1d-072d-45eb-b238-02f2911a01bd","order":101,"text":"_____________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"ae7eface-6c69-4b37-91c9-a2b0828b0fa6","order":102,"text":"A Notary Public in and for the Province of Ontario","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"2d0df6ba-2cb9-46a6-aed5-e39342f2c27f","order":103,"text":"Name, seal and expiry of appointment of the person before whom this declaration is made","fontSize":"11","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"31448d44-d533-434a-8691-cb82449fa385","order":104,"text":"INTERPRETER'S CERTIFICATE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"0e6b9d4b-aca8-451d-a98e-b4c1e332aa1d","value":"yes","type":"add","operator":"="}],"marginTop":"14"},{"id":"0d56789c-703a-4600-9b6c-9a479341d684","order":105,"text":"I, [Full name of the interpreter], certify that I am fluent in the English language and in [Language of interpretation], that I read over and correctly interpreted the whole of this declaration to the declarant from the English language into [Language of interpretation] before it was signed, and that the declarant appeared to me to understand it fully.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"displayConditions":[{"field":"0e6b9d4b-aca8-451d-a98e-b4c1e332aa1d","value":"yes","type":"add","operator":"="}]},{"id":"b5ada3d8-eb85-4f61-bf1d-f63ac97d4535","order":106,"text":"_____________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true,"displayConditions":[{"field":"0e6b9d4b-aca8-451d-a98e-b4c1e332aa1d","value":"yes","type":"add","operator":"="}]},{"id":"0a8710b1-3866-4af4-acf6-37ececd6dd80","order":107,"text":"[Full name of the interpreter], Interpreter","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true,"displayConditions":[{"field":"0e6b9d4b-aca8-451d-a98e-b4c1e332aa1d","value":"yes","type":"add","operator":"="}]},{"id":"9a0bc7eb-4e8a-46cf-bd68-1a9f3da9b235","order":108,"text":"SPECIMEN SIGNATURES","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true,"marginTop":"16"},{"id":"a8363c97-aef0-47ff-88f6-70939bb8be4e","order":109,"text":"For the assistance of every Recipient, I set out below a specimen of my signature in the Former Name and a specimen of my signature in the Present Name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"26","cflou":false,"active":true},{"id":"66abbdc8-8ab4-4cba-9483-64239063e92e","order":110,"text":"_____________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"e4e5ae4d-8e7c-4a87-ae65-83ab064ff84f","order":111,"text":"[Full former legal name], specimen signature in the Former Name","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"26","cflou":false,"active":true},{"id":"d193c252-23b8-416f-a290-db970b1fbb63","order":112,"text":"_____________________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"ab6abd6a-5d7f-42d7-ba84-9e5ceac849db","order":113,"text":"[Full present legal name], specimen signature in the Present Name","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"26","cflou":false,"active":true},{"id":"9a65916a-4bfa-45bd-b48b-34d5566724ef","order":114,"text":"SCHEDULE A","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"6","cflou":false,"active":true,"marginTop":"24"},{"id":"76dcd520-5779-4921-8bf8-63db18367cd2","order":115,"text":"DOCUMENTS PRODUCED IN SUPPORT OF THIS DECLARATION","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"00e33c1e-267c-4e92-8d87-6e908a1436c1","order":116,"text":"[Documents produced in support]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"454a2bfd-245e-48d1-8848-c1e695ebc512","order":117,"text":"SCHEDULE B","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"6","cflou":false,"active":true,"marginTop":"16"},{"id":"46b142bc-e32d-48c1-8a67-571f25970629","order":118,"text":"RECORDS TO BE AMENDED","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"cb7113b9-0df2-4eb1-8095-b111d44f7d49","order":119,"text":"[Records and institutions to be updated]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true}]