(Section 66.38 of the Act)
(Title Form 1)
I, , the administrator of the consumer proposal of , a consumer debtor, hereby certify that the consumer debtor has, as of the day of , fully performed the provisions of the consumer debtor's proposal, as filed with the official receiver on the (and if applicable, and as amended on the day of ).
Dated at , this day of .
Administrator of Consumer Proposal