AFFIDAVIT OF EXECUTION

I, the undersigned, [NAME], residing at [YOUR COMPLETE ADDRESS], in the City of [CITY], Province of [STATE/PROVINCE], do hereby solemnly declare that:

1) I am one of the subscribing witnesses to the execution by [SPECIFY] on behalf of [SPECIFY] (the “[SPECIFY]“) and [SPECIFY] Corporation (the “[SPECIFY]“) of the [SPECIFY] Deed of [SPECIFY] (the “[SPECIFY]“) thereto, the whole on the [DAY] day of [MONTH, YEAR].

2) The said [SPECIFY] was duly executed by said [SPECIFY] and said [SPECIFY] and intervened to by said [SPECIFY] on the date and in the place therein mentioned in my presence and in the presence of [SPECIFY], the other subscribing witness thereto, both of us being of full age of maturity.

AND I HAVE SIGNED

SOLEMNLY DECLARED BEFORE ME, in the City

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

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

Commissioner for Oaths in and for

the judicial district of [SPECIFY DISTRICT]