The oaths amendment act 1996 provides that if a statutory declaration is made to gain material benefit and the offence is dealt with by indictment the penalty is up to 7 years imprisonment. Sign the form in front of a witness who is 18 years old or older you must not bring a presigned statutory declaration to a witness. Commonwealth of australia migration corporation of australia. Statutory declarations act, 1938 irish statute book. Application to file a statutory declaration out of time. Making a statutory declaration a statutory declaration is a written statement declaring something to be true in the presence of an authorised witness. My expertise or experience in relation to a heater of the kind the subject of this statutory declaration is. Statutory declaration form download free documents for. Challenge an unpaid penalty charge notice form pe2. Statutory declaration form pharmacy board of australia. The provision of false or misleading information in this declaration is subject to penalties under the.
Commonwealth of australia statutory declaration form. Person before whom a statutory declaration may be made under the law of the state or territory in which the declaration is made police officer registrar, or deputy registrar, of a court senior executive employee of a commonwealth authority senior executive employee of a state or territory. To make a statutory declaration, download and complete the statutory declaration form below then have it witnessed by one of the many people authorised to. Page includes various formats of statutory declaration form for pdf, word and excel. The licensing authority of secondhand dealers and pawnbrokers form of statutory declaration what is this form for. I understand that i may be granted registration by the board on the basis of the information provided in this statutory declaration and in accordance with. Statutory declaration statutory declarations act 1959. You may return this form by post or in person to the licensing authority address at the end of this form. The act contains 2 alternative formats for a statutory declaration, and you can use whichever is more suitable for your needs. Auust 15 page 1 of 3 i make the following declaration under the statutory declarations act 1959. The purpose of the regulations is to allow the continued use of a prescribed form until 30 june 2006 and to update the list of persons before whom a statutory declaration may be made. Making a statutory declaration new zealand government. Statutory declaration i enter your full name of enter the address where you live enter your occupation for example, bricklayer, teacher, unemployed solemnly and sincerely declare that list the facts in your own words. Submitting the form submit this form with any application with which you are sending us copies of original documents.
Prior to 26 november 2004, section 8 of the act provided that a statutory declaration must be made in the form specified in the schedule to the act. Before you sign the form and fill in the date and place, you need to find an authorised witness. A nsw statutory declaration is made under the oaths act 1900. Chiropractor dentist legal practitioner medical practitioner nurse optometrist patent attorney pharmacist. Person before whom a statutory declaration may be made under the law of the state or territory in which the declaration is made police officer. Making a statutory declaration what needs to be in the. I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the. Or any person before whom, under the statutory declarations act 1959 of the commonwealth, a. Form b statutory declaration page 2 i make this solemn declaration by virtue of the statutory declarations act 1959 as amended and subject to the penalties provided by the act for the making of false statements in statutory declarations, conscientiously believing the statements contained in this declaration to be true in every particular. The relevant law is found in section 886 of the companies act 2014. Get, create, make and sign nsw statutory declaration.
Notethis declaration must be signed before a justice of the peace, a commissioner for taking. Statutory declaration pdf 308kb help on file formats. Statutory declaration acquisitions forms publications. Download a word or pdf copy of a statutory declaration. A statutory declaration is a written statement which a person swears, affirms or declares to be true in the presence of an authorised witness usually a justice of the peace, a lawyer or a notary public. Who have agreed to provide a verbal or written declaration on request regarding the nature of my relationship with 8 should the department wish to contact them and request a declaration. Commonwealth statutory declarations a statutory declaration relating to a law of the commonwealth must be made on the approved form under the statutory declarations act 1959 a commonwealth act a copy of the statutory declarations act 1959 a commonwealth act can be downloaded from the comlaw website an authorised witness for western australia may also.
Statutory declaration of acknowledgement of parentage form form pe3. Statutory declaration i, full name of address, do solemnly and sincerely declare that. You are applying for a replacement licence or certificate. Fill commonwealth statutory declaration word document. Page 2 in confidence when completed making and signing the declaration a statutory declaration under the statutory declarations act 1959 may be made before a person who is currently licensed or registered under a law to practise in one of the following occupations. Wherever a form of declaration, prescribed before the passing of this act by or under any statute other than the statutory declarations act, 1835 and in force at such passing, contains a statement that such declaration is made by virtue of the statutory declarations act, 1835, and such declaration is, expressly or by implication, to be. Statutory declaration i full name of address do solemnly and sincerely declare that. Easy to use and so many options to get things filed on time.
Making a statutory declaration new zealand government govt. Statutory declaration for downloaded documents pdf 25kb statutory declaration for downloaded documents accessible alternative txt 1. Statutory declaration fill online, printable, fillable. Statutory declaration form australia statutory declaration i, 1. The lord chief justice has authorised a new form of statutory declaration for use in connection with rule 37. Senior executive employee of a commonwealth authority senior executive employee of a state or territory. Attached to this declaration is an official record, to be retained by land titles, of the death of who died at in the on and was the same person as the joint tenant named above. Section 886 provides that a statutory declaration made in a place outside the state in pursuance of or for the purposes of the companies act is regarded as having been validly made if it is made in such a place before. It is an offence to make a statement which is false for any purpose under the land transport act 1998. This declaration is made under the oaths, affidavits and statutory declarations act 2005.
Stdestatutory declarations act 1959 ct stde00 commonwealth of australia standard format statutory declaration oc s ony ffectie from. Statutory declaration commonwealth of australia standard. Commonwealth of australia statutory declaration statutory declarations act 1959 92, 015 032014 1 insert the name, name address and occupation of person making the declaration set out matter declared to in numbered paragraphs note 1 a person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the. Statutory declarations act 1959 and the migration act 1958. Statutory declaration form for downloaded documents.
List of commissioners for declarations persons who can witness statutory declarations according to the evidence act 2001. I, full name of address, do solemnly and sincerely declare that. Occupation i acknowledge that this declaration is true and correct, and i make it with the understanding and belief that a person who makes a false declaration is liable to the penalties of perjury. More guidance on making statutory declarations can be found at. You can download a declaration form as a pdf or text file and type in the details of your declaration. If there is a change in preceptor, the existing preceptor must complete the statutory declaration, and a separate weekly record must be commenced and maintained for the subsequent period of supervised practice. Download a statutory declaration attorneygenerals department. Statutory declarations amendment regulations 2005 no. Occupation i acknowledge that this declaration is true and correct and i make it in the belief that a person making a false declaration is liable to the penalties of perjury. Before me, 7 signature of person before whom the declaration is made see over. An authorised witness can include someone such as a doctor, teacher, pharmacist, bank officer or a vet.
Attach a death certificate issued by vital statistics or by a comparable a uthority if the death occurred outside the province of alberta. You can use this commonwealth provided template to make a declaration under the statutory declarations act 1959. Please complete the following form using the notes in the lefthand margin for guidance. You can find a copy of the commonwealth statutory declaration form on the tour guides page of the ads website as well as on the attorneygenerals department website.
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