Shareholder or Creditor Affidavit (Corporate Law)

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Form of Affidavit

Province of Ontario In the matter of:
County of: (Insert name of corporation)

Under the Authority of s.306 (1) of Corporations Act, R.S.O. 1990, c. C.38

I, ......................... of the ................ of ..................... in the .................................. of .......................................

make oath and say (or affirm):

1. I am a shareholder (or member or creditor) of the above-named corporation.

(Where the shareholder, member or creditor is a corporation, indicate office and authority of deponent in paragraph 1.)

2. I am applying to make a list of the shareholders (or members) of the above-named corporation.
3. I require the list of shareholders (or members) only for purposes connected with the above-named corporation.
4. The list of shareholders (or members) and the information contained therein will be used only for purposes connected with the above-named corporation.

Sworn, etc.