Statutory Declaration Template
Template for Statutory Declaration. Customize this template for your specific needs.
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Document: Statutory Declaration
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Version 1 • Last updated 7/27/2026
STATUTORY DECLARATION
I, [Full Legal Name] of [Street Address] in the State of [State], [Occupation], do solemnly and sincerely declare that:
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I am the [Director/Owner/Proprietor] of [Business Name], a business located at [Business Address].
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The purpose of this declaration is to [State the purpose, e.g., confirm the details of a transaction, verify loss of property, declare employment history].
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[State the first fact clearly. Use plain English.]
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[State the second fact clearly. If referring to dates, be specific.]
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[State the third fact clearly. If referring to money, include the exact amount and currency.]
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I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act 1959 (Cth).
DECLARATION DECLARED AT [Suburb or Town] in the State of [State]
on the [Day] day of [Month], [Year].
Before me,
................................................................................ (Authorised Witness to sign and print full name)
................................................................................ (Qualification, e.g., Justice of the Peace)
Registration Number: [Number if applicable]
Address: [Witness Address]
About this Template
Part of the Statutory Declaration document collection
Document Type
Statutory Declaration
A formal legal statement of facts used by Australian businesses and tradespeople to affirm the truth of matters for government departments, banks, and court proceedings.