Form 64A
Courts of Justice Act
request TO redeem
(General heading)
request TO redeem
The defendant (name) requests an opportunity to redeem the mortgaged property.
| (Date) | (Name, address and telephone number of defendant’s solicitor or defendant) | 
(Where the defendant is a subsequent encumbrancer, add:)
affidavit verifying claim
I, (full name of deponent), of the (City, Town, etc.) of........................., in the (County, Regional Municipality, etc.) of ........................., (where the deponent is a party or the solicitor, officer, director, member or employee of a party, set out the deponent’s capacity), MAKE OATH AND SAY (or AFFIRM):
1. There is now due to me under a mortgage on (or an execution against or a construction lien registered against or as may be) the mortgaged property,
| (a) for principal | $......................... | 
| (b) for interest (set out particulars) | $......................... | 
| (c) (set out particulars of any other amounts due | $......................... | 
| Total now due | $......................... | 
Sworn (etc.)
RCP-E 64A (November 1, 2005)