Tenth Annual Conference
Country Comfort Conference Centre
Annual General Meeting
(Note: each State, Territory, Australian Commonwealth, and other Countries, have different Statutory Declarations forms and this Statutory Declaration form can only be used in New South Wales, Australia).
Use the following link to see examples of two completed Statutory Declarations in both of the two possible formats that can be used.
Statutory Declarations can be made in any matter where a formal statement is needed. It is not a document used in court but rather by businesses and organisations in their various activities. Most forms that require a Justice's of the Peace signature would be classified as a Statutory Declaration.
vis. the form that you fill in when you have lost a credit card, the pension application form, excuse from Jury duty application form, and the form that has to be completed if a traffic infringement is issued to the incorrect driver of a vehicle.
Statutory Declarations must be made in the presence of a Justice of the Peace. Statutory Declarations should follow either of the two Optional Formats given below
"I (full name) of (address and occupation) do solemnly and sincerely declare that:
(set out statements here, un-numbered)
and I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the Oaths Act, 1900".
"I (full name) of (address and occupation) do solemnly and sincerely declare and affirm that:
(set out statements here, un-numbered)
and I make this solemn declaration, as to the aforesaid, according to the laws in this behalf made, and subject to the punishment by law provided for any wilfully false statement in any such declaration".
At the end of the Declaration is the jurat, placed in the lower left hand corner, of the last page, and it is to be completed by both the Declarant and the Justice of the Peace.
"Declared at (place)
on the (date) day of (month) (Year) before me:
(Signature of Justice of The Peace) (Signature of Declarant)
Justice of the Peace
(Name, Address and
These are attachments to Statutory Declarations (or affidavits) such as original documents, photographs etc. Annexures must be referred to in the text of the Statutory Declaration and labelled in alphabetical order such as Annexure A, Annexure B etc.
To refer to an Annexure in the text of the Statutory Declaration, for example:
"the receipt (Annexure B) proves that I paid for the shoes that I claim were stolen"
"Annexure D is a list of all the items I claim were lost when my boat capsized .... "
Annexures must be labelled, only on the 1st page, in a prominent place, preferably at the top of the document, with:
"This is the Annexure 'A' in the Statutory Declaration
of (Declarants Full Name)
declared before me
this (day) of (month) (year)",
and it must be signed by the Justice of the Peace including their name, and address or registration number.
Where an annexure has more than 1 page it must be labelled by the Justice of the Peace on the first page (only) of the annexure, with:
"This and the following (number of pages) is Annexure"A" referrred to in the Statutory Declaration
of ..... etc.
The format of Statutory Declarations (and Affidavits) are specific to each State or Territory of Australia, and the two formats of the Statutory Declarations shown here relate only to New South Wales.
The Oaths Amendment Act 1996 provides that if a Statuary Declaration is made to gain material benefit and the offence is dealt with by indictment the penalty is up to 7 years imprisonment. If dealt with summarily then the penalty is up to 2 years imprisonment and/or a fine of 100 penalty units ($11,000 in 1998). If the offence is swearing a false declaration, that does not involve material benefit, the penalty is up to 12 months imprisonment and/or a fine of 50 penalty units ($5,500 in 1998).
To see examples of the two formats of Statutory Declarations
Go to Affidavits.