The Northern Territory of Australia Statutory Declaration (1) Insert full name and address of person making I, declaration (1) solemnly and sincerely declare (2) (2) Here insert the matter declared to, either directly following the word the “declare” or, if matter is lengthy, insert the words “as and follows” thereafter set out the matter in numbered paragraphs This declaration is true and I know it is an offence to make a statutory declaration knowing it is false in a material particular. Declared at (3) Signature of the the day of 20 person making the declaration (3) (4) Signature of the person before whom Witnessed by: the declaration is (4) made (5) Here insert full (5) name of person before whom the declaration is made, (6) legibly written, typed or stamped Note: This declaration may be witnessed by any person who is at least 18 (6) Here insert contact address or (eighteen) years of age. telephone number of This written statutory declaration must comply with Part 4 of the Oaths person before whom the declaration is Affidavits and Declarations Act. made Making a declaration knowing it is false in a material particular is an offence for which you may be fined or imprisoned.
The Northern Territory of Australia Statutory Declaration (1) Insert full name and address of person making declaration (2) Here insert the matter declared to, either directly following the word “declare” or, if the matter is lengthy, insert the words “as follows” and thereafter set out the matter in numbered paragraphs (3) Signature of the person making the declaration (4) Signature of the person before whom the declaration is made (5) Here insert full name of person before whom the declaration is made, legibly written, typed or stamped (6) Here insert contact address or telephone number of person before whom the declaration is made I, (1) solemnly and sincerely declare (2) This declaration is true and I know it is an offence to make a statutory declaration knowing it is false in a material particular. Declared at the day of 20 (3) Witnessed by: (4) (5) (6) Note: This declaration may be witnessed by any person who is at least 18 (eighteen) years of age. This written statutory declaration must comply with Part 4 of the Oaths Affidavits and Declarations Act. Making a declaration knowing it is false in a material particular is an offence for which you may be fined or imprisoned.
form-stat-dec.docx