Fillable Statutory Declaration (Department of Internal Affairs New Zealand)

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Statutory Declaration (Department of Internal Affairs New Zealand)

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The Statutory Declaration (Department of Internal Affairs New Zealand) form is 1 page long and contains:

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Country of origin: NEW-ZEALAND
File type: PDF

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Statutory Declaration
I (Enter your full name)
of (Enter the address where you live)
(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.
Your signature
Declared at (Place, for example town or city)
(Day/month/year)
Before me (Name of official witness)
(For example, a Justice of the
Peace, solicitor or another person
authorised to take a statutory
declaration)
Signature of official witness
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Statutory Declaration (Department of Internal Affairs New Zealand)

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Completed 22 March 2021

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