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Statutory Declaration Form (PDF 9KB - 1 page)

Statutory Declaration 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 in the belief that a person making a false Declaration is liable to the penalties of perjury. Declared at in the State of Victoria this day of 20 (Signature of person making Declaration ) Before me: (Signature of authorised witness) (The witness must print their name, address and their authority under section 107A of the evidence (Miscellaneous Provisions)Act 1958 to witness a Statutory Declaration )

their authority under section 107A of the Evidence (Miscellaneous Provisions)Act 1958 to witness a statutory declaration. Title: Statutory Declaration Form (PDF 9KB - 1 page) Author: Magistrates' Court of Victoria Created Date:

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  Form, Evidence, Declaration, Statutory, Statutory declaration, 8519, Statutory declaration form, Act 1985

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Transcription of Statutory Declaration Form (PDF 9KB - 1 page)

1 Statutory Declaration 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 in the belief that a person making a false Declaration is liable to the penalties of perjury. Declared at in the State of Victoria this day of 20 (Signature of person making Declaration ) Before me: (Signature of authorised witness) (The witness must print their name, address and their authority under section 107A of the evidence (Miscellaneous Provisions)Act 1958 to witness a Statutory Declaration )


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