Declaration of Estate Form

    Place of Death:

    Executor/Administrator/Personal Rep:


    Real Estate Property
    Investments and Assets
    Description of Additional Liabilities

    Creditors and/or debts not mentioned above such as personal debts, crown debts, Canada Customs Revenue Agency, etc including amounts owed.

    Payment of Outstanding Debt

    1. I hereby acknowledge the estate’s liability to the above-mentioned account and affirm that the information provided is correct and complete.
    2. Confidentiality of the above information is guaranteed by the privacy act. Should you have questions or concerns contact one of our representatives at 1-888-797-7727.

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