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STATUTORY DECLARATION



This Statutory Declaration (the Agreement) is effective [DATE],

[YOUR COMPANY NAME] (the "Corporation"), a company organized and existing under the laws of the [State/Province] of [STATE/PROVINCE], with its head office located at:

[YOUR COMPLETE ADDRESS]

DO SOLEMNLY DECLARE THAT:

I, [INDIVIDUAL NAME], of the City of [CITY], in the [State/Province] of [STATE/PROVINCE], do solemnly declare that:

1.  I am the [POSITION] of [YOUR COMPANY NAME] (the Corporation), one of the amalgamating corporations and as such, have knowledge of the matters herein declared to.

2.  I have conducted such examinations of the books and records of the Corporation and have made such inquiries and investigations as are necessary to enable me to make this declaration.

3.  I have satisfied myself that:

(a)  there are reasonable grounds for believing that:

(i)  the Corporation is and the amalgamated corporation will be able to pay its liabilities as they become due, and

(ii)  the realizable value of the amalgamated corporations assets will not be less than the aggregate of its liabilities and stated capital of all classes.

(b)  there are reasonable grounds for believing that no creditor will be prejudiced by the amalgamation.

And I make this solemn declaration conscientiously believing the same to be true and knowing that it is of the same force and effect as if made under oath and by virtue of the [COUNTRY] Evidence Act.

THE CORPORATION



              
Authorized Signature          


              
Print Name and Title






DECLARED BEFORE me at the City of [CITY], [State/Province] of [STATE/PROVINCE], this [DATE].
                  
Commissioner for Oaths for the Judicial      [NUMBER]
District of [STATE/PROVINCE]



              
Authorized Signature          


              
Print Name and Title     

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