FORM 146A -­Rule 146 AFFIDAVIT OF SERVICE (General Heading -­-­ Use Form 66) of deponent
City, Town, etc.
I, full name and occupation
, of the name
of in the County, Regional
etc. of ,
Municipality,
name
SWEAR (or AFFIRM) THAT: 1. On date , at time
, I served with identify
person
served
served leaving a copy with that person at identify
the document
address
where service was made
. (Where the Federal Courts Rules provide for personal service on a corporation, etc., by leaving a copy of the document with another person, substitute:) identify
of the person served
by leaving a copy with and give
the position
or function
. address where service was made
2. I was able to identify the person by means of state the means by which the person's identity was ascertained
(for personal service by leaving a copy with an adult person in the same household) 1. I served identify
person
served with identify
the document
served leaving a copy on ,
at with
a
person
time
date
insert name if known
who appeared to be an adult member of the same household in which identify person served
is residing at where service was made
, and by address
identify person served
sending a copy by regular mail (or registered mail) on date
to at the same address. 2. I ascertained that the person was an adult member of the household by means of
State how it was
ascertained that the person was an adult member of the household. .
(for personal service by mail) 1. On , at time , I sent to
date
identify person served
by registered/ordinary mail a copy of
identify
the document
served . 2. On date , I received the attached acknowledgement of receipt card/post office receipt bearing a signature that purports to be the signature of . identify
person
(for service by mail on solicitor) I served identify party served
with identify document served
by sending a copy by registered/ordinary mail on to name of solicitor
,
date6
solicitor for the party . identify
(for non-­personal service by fax on a solicitor)
identify party served
I served
by sending a copy by fax on to date
.
at
fax number
identify document served
with , solicitor for the name of solicitor
identify party
(for non-­personal service by courier) 1. I served
by sending a copy by solicitor for the identify document served
with , a courier to name of solicitor
identify party served
name of courier
identify party
, at full address of place for delivery
date
2. The copy was given to the courier on
,
. . (for non-­personal service on party acting in person) identify document served
to date
served
1. I served identify party
with by sending a copy by registered/ordinary mail/fax/courier on full mailing address/fax number
service provided by the last known address of identify party
identify party
. date
2. The copy was given to the courier on
Sworn (or Affirmed) before me at the in the County, Regional Municipality, etc
______________________________________ Commissioner for Taking Affidavits (or as the case may be) _____________________________ ( ) Signature
of Deponent
SOR/2004-­283, s. 35 , the last address for (or, where no such address has been provided:) nom
of . of name
name
on
. date