CANADA



CANADA

PROVINCE OF ONTARIO

CENTRAL EAST REGION

AFFIDAVIT OF SURETY

For the Purpose of a Consent Bail Variation

Her Majesty the Queen

vs.

Accused Person

I,

(Full Name of Surety Applicant) (Date of Birth)

residing at

(address) (Town/City) (Postal Code)

telephone:

MAKE OATH AND SAY:

I am presently the surety for the above noted individual

That I am aware that it is proposed his/her release order be varied as set out on the attached document

That I am aware that I continue to be responsible for supervising the accused and must do so in accordance with the amendment as attached

I hereby consent to the present release order being varied in accordance with the attached terms.

Sworn/Affirmed Before me at the Town of Newmarket

In the Regional Municipality of York

In the Province of Ontario

This _______day of ________________, 20

A Commissioner, etc. (Surety Applicant)

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