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Potential beneficiary statutory declaration 2026

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The document is a statutory declaration form for potential beneficiaries of a deceased member's superannuation fund under the Commonwealth Government of Australia's Statutory Declaration Act 1959. It includes sections for detailing the deceased's personal information, marital status, will status, and potential beneficiaries' details. The form also requires declarations regarding the relationship to the deceased and any dependency claims. Legal representatives must complete additional sections regarding probate and distribution of benefits.

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Click ‘Get Form’ to open the Potential beneficiary statutory declaration in the editor.
Begin with Section A, where you will enter the deceased member’s details. Fill in their first name, middle name, last name, and date of birth. Ensure accuracy as this information is crucial.
Indicate the marital status of the deceased at the time of death by selecting one of the options provided. If applicable, provide details about their spouse or de-facto partner.
Proceed to Section B to list potential beneficiaries. For each beneficiary, include their full name, relationship to the deceased, and contact information such as address and phone numbers.
In Section C, provide your own details as the claimant. Specify your relationship to the deceased and any claims you wish to make regarding benefits.
Complete Section D by signing and dating the declaration. This confirms that all statements made are true.

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Versions	Form popularity	Fillable & printable
2019	4.3 Satisfied (56 Votes)
2010	4 Satisfied (27 Votes)
2007	4 Satisfied (52 Votes)

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What are statutory beneficiaries?

Statutory beneficiaries include family members or those who are considered dependents of the deceased individual.

What is the point of a statutory declaration?

A statutory declaration is a written statement that you (the declarant) sign and declare to be true and correct in the presence of an authorised witness. By signing it, you agree that the information in it is true. You can be charged with a criminal offence if the information is false.

What is the purpose of the declaration statement?

A statutory declaration is a formal written statement made by an individual to confirm the truth of certain facts. This document is often used when there is no other evidence available to prove a particular point.

What is a statutory declaration in simple words?

A statutory declaration (also known as a stat dec) is a type of legal document that sets out facts that you declare to be true and accurate. Statutory declarations can be used for many purposes and can be requested by a person, organisation or government agency.

When would you use a statutory declaration?

Statutory declarations are commonly used to allow a person to declare something to be true for the purposes of satisfying some legal requirement or regulation when no other evidence is available.

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What should I write in a statutory declaration?

What should be in the statutory declaration? If you are making a statutory declaration, you are called the declarant. Your statutory declaration should contain: your full name your address your occupation a statement that you do solemnly and sincerely declare the things you say are true.

What is the purpose of the statutory declaration?

A statutory declaration is a sworn or affirmed statement and is usually used where there are no court proceedings but some fact needs to be proved.