Statutory Declaration .au
Oaths Act 1867
Statutory Declaration
QUEENSLAND
TO WIT
I, [insert full name], of [insert address], in the State of Queensland do solemnly and sincerely declare that [insert matters to be declared].
And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the Oaths Act 1867.
[Signature of person making the declaration]
Declarer
Taken and declared before me at [insert name of town or city and suburb where affidavit signed] this [insert date] day of [insert month] 20[insert year], before me.
[signature]
Justice of the Peace/Commissioner for Declarations
................
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