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tp://d2l.msu.edu/d2l/ep/6606/presentation/262329/viewPage/76216
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FLR-14A-E (2005/09)
Court File Number
(Name of Court)
at Court office address
Full legal name & address for service — street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).
Lawyer’s name & address — street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).
Full legal name & address for service — street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).
Lawyer’s name & address — street & number, municipality, postal code, telephone & fax numbers and e-mail address (if any).
Set out the statements of fact in consecutively numbered paragraphs. Where possible, each numbered paragraph should consist of one complete sentence and be limited to a particular statement of fact. If you learned a fact from someone else, you must give that person’s name and state that you believe that fact to be true.
FLR-14A-E (2005/09)
Put a line through any blank space left on this page.
municipality
province, state, or country
Date (^) Commissioner for taking affidavits (Type or print name below if signature is illegible.)
Signature (This form is to be signed in front of a lawyer, justice of the peace, notary public or commissioner for taking affidavits.)