C A N A D A File# ________________
PROVINCE OF [PROVINCE]
COUNTY OF [COUNTY]
IN THE [LEVEL OF COURT] OF [PROVINCE]
BETWEEN:
[ACCUSED NAME]
– and –
HIS MAJESTY THE KING
AFFIDAVIT OF [AFFIANT NAME]
'
I, [Affiant name], of [City], in the [Community] and Province of [Province], make oath and say as follows that:
- I have personal knowledge of the matters and facts hereinafter deposed to except where stated to be on information and belief and where so stated, I verily believe the same to be true.
- I am aware of information, obtained through the usual and ordinary course of business and believed to be reliable, that has lead me to believe that [accused name] is currently being held in [correctional/remand facility] located at [address of correctional/remand facility], that that the prisoner is required to appear before the [level] at [location of the court house], [Province], on [date], [year], at [time] for the purpose of [purpose].
- I believe the ends of justice require that an order be made to bring the prisoner
before the Court for that purpose.
SWORN/AFFIRMED TO at [city], in the region of
[region], Province of
[province], this [day]
day of [month], 20____, before me:
________________________________
Commissioner of Oaths/Barrister of
the [level] Court of [province]
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) [Affiant Name]
) [Affiant title]
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[Internal File Code]
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