Specimen examples of a statutory declaration are available via the examiner toolkit 2026

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The document is an application form (PE2) for filing a Statutory Declaration out of time regarding a Penalty Charge Notice (PCN). The applicant must provide personal details, reasons for the late submission, and have the declaration sworn before an authorized official. The primary reason stated for the delay is non-receipt of the PCN due to an outdated address. The document emphasizes the legal implications of providing false information.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your full name and address, including postcode, in BLOCK CAPITALS and black ink as specified.
Enter the Penalty Charge Number and Vehicle Registration Number accurately to ensure proper identification of your case.
In the section for reasons, clearly state why you are filing the Statutory Declaration out of time. Avoid discussing your appeal against the original penalty charge here.
Sign and date the declaration at the designated areas. Ensure that you declare it before a Commissioner for Oaths or Justice of the Peace.
Review all entries for accuracy before submitting. Remember, any amendments will require re-witnessing.

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