Declaration of Sole Trader
Province of Québec,
District of
I .............. of .............. in .............., grocer (or as the case may be) hereby certify that I have carried on since the .............. and I intend to carry on business as grocer (or as the case may be), at .............., district of .............., under the style of .............. and that no other person is associated with me.
(Signature)