Penalty notice statutory declaration companies 2026

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  1. Click ‘Get Form’ to open the penalty notice statutory declaration companies form in the editor.
  2. Begin by entering your full name in capital letters as the person completing the form on behalf of the company. Ensure you include your title as an authorized officer.
  3. Fill in the company name, phone number, and address accurately. This information is crucial for identifying your organization.
  4. In the section regarding the responsible person, provide their surname and given names clearly. Include their mailing address, suburb, state, date of birth, postcode, and phone number.
  5. Indicate whether this person was the driver or responsible for the offence by checking the appropriate box. If applicable, provide their licence number or company ABN/ACN.
  6. Complete the declaration section by signing and dating it in front of an authorized witness. The witness must also complete their details and sign.
  7. Finally, ensure all information is correct before submitting. Use our platform to save and send your completed form directly to the State Debt Recovery Office.

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