In the matter of the planning and environment act 1987 and. Statutory declarations are used for many purposes, including. State of victoria statutory declaration i, full name of address, do solemnly and sincerely declare that. Signature of declarantdeponent taken and declared before me at this day of.
Gpo box 4395 melbourne vic 3001 0 372 842 0 epa vic epa. A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for which is imprisonment for a term of 4 years see section 11 of the. If youve been asked to witness a statutory declaration, please see the. Having trouble downloading pdf files or with the pdf editor. The way to complete the online statutory declaration on the internet. Edit, fill, sign, download statutory declaration state of victoria online on. Statutory declaration waste bin city of stonnington. Commonwealth of australia statutory declaration form. Signature of person making this declaration to be signed in front of an authorised witness. Statutory declaration form a blank stat dec form for declaration in the state of victoria. The completed statutory declaration form tells us that you are sending us true copies of the originals. Witnessing a statutory declaration a statutory declaration is a written statement in which a person formally declares before an authorised person that the statement is true.
Return the certified declaration and a4 size replica of the sign provided to you to wyndham city council planning department at civic centre 45 princes highway, werribee vic 3030. For additional information on the new statutory declarations. A, b for single page exhibits or annexures or a12, a22 for multiple page exhibits or annexures. Find out how to make a statutory declaration in victoria, and see a list of authorised. 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 jp, lawyer or notary public. I, full name of person making declaration of address, declare that the contents of this statutory declaration are true and correct. Stat dec vic fill out and sign printable pdf template. Who can witness a statutory declaration in victoria. In the matter of the evidence act 1958 in the matter of.
Oaths act 1867 statutory declaration queensland to wit i, of in the state of queensland do solemnly and sincerely declare that and i make this solemn declaration conscientiously believing the same to be true, and by virtue of the. Statutory declaration 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. Enter your official contact and identification details. I am an authorised statutory declaration witness and i sign this document. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Printable and fillable statutory declaration state of victoria. The northern territory of australia oaths act statutory declaration section 23c i i, 1. Under the evidence act 1958, there are many people who may witness the signing of a statutory declaration in victoria. Witnessing a statutory declaration australian nursing and. Psychologist trade marks attorney veterinary surgeon 2 a person who is enrolled on the roll of the supreme court of a state or territory, or the high court of australia, as a legal practitioner however described.
A person appointed to be in charge of the head office or any branch office of an authorised. The advanced tools of the editor will guide you through the editable pdf template. When making the statutory declaration the declarant must say aloud. State of victoria statutory declaration i, of full name address do solemnly and sincerely declare that. For a complete list of people who can witness a statutory declaration, go to the department of justice and. Declared at in the state of victoria this day of 20. A35 statutory declaration sf207 in the matter of the evidence act 1958 and in the matter of planning and environment act 1987. I, full name of address, do solemnly and sincerely declare that. Ccdc 9b 2018 statutory declaration of progress payment distribution by subcontractor is a sworn statement for use by the subcontractor as a condition of receiving payment for either the second and subsequent applications for progress payment or the release of holdback funds. Tax file number declaration australian taxation office. Applying for a new folio of the register ms word document 111. The authorised witness must print or stamp his or her name, address, and title under section 107a of the evidence act 1958 victoria.
You can receive a fine of up to 600 penalty units, imprisonment for up to 5. 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. Statutory declarations department of justice and community safety. Statutory declaration for the state of victoria pdf, kb. Does your dog work as per the definition below on land used mainly for primary production.
Victorian workcover authority officer or employee with a. Statutory declaration i, full name of address, do solemnly and sincerely declare that. There are two alternative formats specified in the act, in the. Fill, sign and download statutory declaration form online on. Please complete the following form using the notes in the lefthand margin for guidance. This list contains the persons who are accepted as authorised witnesses for documents that are remaining in victoria. Ccdc 9b 2018 statutory declaration of progress payment. Exhibits affidavits often refer to exhibits or annexures marked with letters or numbers e. Printable and fillable statutory declaration form victoria. 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. Or, you can post your litter statutory declaration to. Statutory declaration litter nomination environment protection authority victoria gpo box 4395 melbourne vic 3001 0 372 842 0 epa vic epa. As part of making a statutory declaration, it is usual for the declarant to repeat the following words in the presence of the authorised witness. Occupation and i make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the oaths act, 19361969.
Statutory declarations act 1959, and i believe that the statements in this declaration are true in every particular. Does your dog herd, drove, protect, tend or work stock. Statutory declaration for the state of victoria health. Statutory declaration person making the declaration declarant i declare that the contents of this statutory declaration are true and correct and i make it knowing that making a statutory declaration that i know to be untrue is an offence. Statutory declaration litter this statutory declaration is provided for use by individuals who have received a litter infringement under.
A statutory declaration is a written statement that a person signs and declares to be true and correct before an authorised witness. The way to complete the online stat dec vic on the internet. Statutory declaration form victoria edit, fill, sign. Statutory declaration state of victoria free download. Watch the video for more information about how to make a statutory declaration. Use this template to create a statutory declaration for the state of victoria. 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 statutory declarations. To send us a statutory declaration, fill out the relevant statutory declaration form. Statutory declaration department of the attorney general.
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 with the understanding and belief that a person who makes a false declaration is liable to the penalties of perjury. The a1 size signs are not required to be returned to council. For screen reader users on mobile, if you are using a keyboard. A statutory declaration is a written statement that a person the declarant signs and declares to be true and correct in the presence of an authorised witness. A statutory declaration is a legal document and means you are telling the truth microchip. A statutory declaration is a written statement that you sign and declare to be true and correct in the presence of an authorised witness. Statutory declaration form pdf 23kb melbourne vic gov.
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. More guidance on making statutory declarations can be found at. If the statutory declaration refers to a separate document, you must. Find out how to make a statutory declaration in victoria, and see a list of authorised witnesses. 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. This declaration is made under the oaths, affidavits and statutory. Application by surviving proprietor ms word document 110. This is in questionnaire form, useful if you wish to prepare the whole document on the screen before printing out and signing. Statutory declaration state of south australia oaths act 1936 i we, full name of do solemnly and sincerely declare that address and i we make this solemn declaration conscientiously believing the same to be true. Use this form to dispute the infringement by submitting a statutory declaration to.
List of authorised witnesses for statutory declarations. Fillable and printable statutory declaration form 2020. 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. Justice of the peace, pharmacist, police officer, court registrar, bank manager, medical practitioner, dentist. I am an authorised statutory declaration witness and i sign this document 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. Statutory declaration queensland to wit i, of in the state of queensland do solemnly and sincerely declare that and i make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the oaths act 1867. How to have certified copies of documents made in victoria. Statutory declaration insert the name, address and occupation or. Statutory declaration state of victoria edit, fill. You can be charged with a criminal offence if the information is false.
Information you provide in this declaration will allow your payer to. A nsw statutory declaration is made under the oaths act 1900. To view audio or movie files you may need to download one of the following media players. Any authorised witness for the state of western australia may also witness a commonwealth statutory declaration, as long as they are in western australia at the. The act contains 2 alternative formats for a statutory declaration, and you can use whichever is more suitable for your needs. Use this form to complete a statutory declaration a written statement that a person signs and declares to be true and correct before an authorised witness. By signing it, you agree that the information in it is true, and you can be charged with perjury if the information is false. Melbourne vic 3000 an example of a completed jurat is demonstrated below. Statutory declaration litter company this statutory declaration is provided for use by companies who have received a litter infringement. Home declaration form statutory declaration form statutory declaration form victoria. If you were not responsible for the offence you can nominate the person responsible by submitting a. I declare that the contents of this statutory declaration are true and correct and i make it knowing that making a statutory declaration that i know to be untrue is an. I am an authorised statutory declaration witness and i sign this document in the presence of the. After displaying the notice for 14 days persons who can witness statutory declarations state of victoria evidence act 1958 a justice of the peace or a bail justice a notary public a barrister and solicitor of the supreme court a clerk to a barrister and.
A statutory declaration is a a statutory declaration is a legal document and means you are telling the truth. 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. Police officer or other person authorised for witnessing statutory declarations in victoria. Statutory declaration to be completed at the end of the. Epa victoria, gpo box 4395, melbourne, vic 3001 this statutory declaration is provided for use by individuals who have received a litter infringement under section 45 of the environment protection act 1970 ep act. Under the evidence miscellaneous provisions act1958, there are many people who may witness the signing of a statutory declaration in victoria. Fellow of the national tax accountants association finance company officer with 5 or more years of continuous service holder of a statutory office not specified in another item in this part. Authorised witnesses for statutory declarations schedule 2 as at 01 dec 2018 version 02e002 page 17 published on. Oaths, affidavits and statutory declarations act 2005 schedule 2 authorised witnesses for statutory declarations page 18 version 02e002 as at 01 dec 2018 published on. A statutory declaration is sometimes called a stat dec. Edit, fill, sign, download statutory declaration form victoria online on. Asp form is used as supporting documentation for an application by surviving proprietor. Signature of person making declaration to be signed in the presence of an authorised witness declared at in the state of victoria.
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