*** Transcriber's Note: Please set your voice synthesiser to read most punctuation. When you encounter the caret sign at the end of a line, please enter the applicable information, if necessary. *** Statutory Declaration I, Your full name ^ of Enter the address where you live ^ Occupation Enter your occupation – for example, bricklayer, teacher, unemployed ^ solemnly and sincerely declare that List the facts in your own words. Number each point to make it clearer. Note: What you write must be true. You can be prosecuted if you make a false declaration. ^ I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957. Note: Do not complete the following section until you are with the person witnessing your declaration.They must be a Justice of the Peace, solicitor or another person authorised to take a statutory declaration. Your signature ^ Declared at Enter place - for example town or city ^ DD/MM/YYYY ^ Before me Name of official witness ^ Signature of official witness ^