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Statutory Declaration of Legal Marriage - Service Canada

SC ISP-1809 (2014-04-17) EService CanadaPROTECTED B (when completed)Personal Information Banks ESDC PPU 116 and 146 Statutory Declaration OF Legal Marriage Social Insurance NumberSECTION A - TO BE COMPLETED BY THE APPLICANTC anada PROVINCE / TERRITORY OFTo Wit:In the Matter of the Canada Pension Plan and the Old Age Security Act and in the Matter of Legal MarriageI,of the (City, Town, Village)county ofin the province / territory of Solemnly Declare, that: I am/was legally married to My spouse/former spouse and I were married at (Name of church or City Hall etc.)

SC ISP-1809 (2014-04-17) E. Service Canada. PROTECTED B (when completed) Personal Information Banks ESDC PPU 116 and 146. STATUTORY DECLARATION OF LEGAL MARRIAGE . Social Insurance Number. SECTION A - TO BE COMPLETED BY THE APPLICANT. Canada PROVINCE / TERRITORY OF To Wit: In the Matter of the . Canada …

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