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Click ‘Get Form’ to open the penalty notice statutory declaration companies form in the editor.
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.
Fill in the company name, phone number, and address accurately. This information is crucial for identifying your organization.
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.
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.
Complete the declaration section by signing and dating it in front of an authorized witness. The witness must also complete their details and sign.
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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Versions	Form popularity	Fillable & printable
2022	4.4 Satisfied (33 Votes)
2020	4.7 Satisfied (182 Votes)
2012	4.8 Satisfied (163 Votes)

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Does a statutory declaration need to be stamped?

What is the wording of the oral declaration to be made by the declarant? The form of wording is as follows: I solemnly and sincerely declare that this is my name and handwriting and that the contents of this my declaration are true.

What is a statutory declaration letter?

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 counts as a statutory declaration?

For statutory declarations to be used in countries not party to the Hague Convention, Apostille legalisation may be required. Check out our Apostille Service guide for more information. This process involves obtaining a stamp from the countrys Consulate, confirming that the document is genuine and properly executed.

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