AFFIDAVIT – PETITION FOR DISSOLUTION

I, the undersigned [NAME], [TITLE], residing and domiciled at [YOUR COMPLETE ADDRESS], upon being duly sworn to depose and say that:

1. I am a [TITLE] and [TITLE] of the [COMPANY] and the signatory to the attached Petition for Dissolution.
2. To the best of my knowledge, the submissions made in the attached Petition for Dissolution are true.

Executed at the City of [CITY], Province of [STATE/PROVINCE], [DATE].

Sworn to before me at the City of

[CITY], Province of [STATE/PROVINCE],

this [DAY] day of [MONTH, YEAR].

Commissioner of Oaths for the

[State/Province] of [STATE/PROVINCE]