For persons to which the 2009 amendments apply
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(Sections 65.3 and 66.38 of the Act)
(Title Form 1)
(Check appropriate section)
I, ,
the trustee acting in the proposal of , certify that the proposal,
the administrator of the consumer proposal of , a consumer debtor, certify that the consumer proposal,
as filed with the official receiver on the day of (and, if applicable, as amended on the day of ), has been fully performed as of the day of .
Dated at , this day of .
Licensed Insolvency Trustee
(or administrator of
consumer proposal)