Sample Affidavit for Bankrupts - Please Re-type

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CANADA
PROVINCE OF NOVA SCOTIA
COURT NO: (Place your court number here)

IN THE SUPREME COURT OF NOVA SCOTIA

IN BANKRUPTCY

IN THE MATTER OF THE BANKRUPTCY OF

(Place your name here)

AFFIDAVIT OF BANKRUPT IN SUPPORT OF APPLICATION TO THE COURT

I, ( Place your name here ), of ( your city or town ), in the Province of Nova Scotia, hereby make oath and say:
(List the circumstances and reasons why you are making an application to the court and the type of Order you are seeking from the court):

1.

2.

3.

SWORN before me at _______________ in the
Province of Nova Scotia, this ____ day of _____

__________________________	__________________________
A Commissioner of Oaths for the Province of Nova Scotia	(You sign your name here)