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ApplyJurisdiction: [Country/State/Province]
Statute/Act (Optional): [Name of statute, if known]
I, [Full Legal Name], of [Address], do solemnly and sincerely declare that:
1.1 Full Legal Name: [Name]
1.2 Date of Birth (Optional): [MM/DD/YYYY]
1.3 Address: [Address]
1.4 Phone/Email (Optional): [Contact]
1.5 Occupation (Optional): [Occupation]
2.1 This Statutory Declaration is made for the purpose of: [Purpose/agency request].
(Write clear, factual statements in numbered form.)
3.1 [Statement of fact #1]
3.2 [Statement of fact #2]
3.3 [Statement of fact #3]
3.4 [Additional statements as needed]
4.1 Attached and referenced documents (if any):
Exhibit A: [Description]
Exhibit B: [Description]
Exhibit C: [Description]
Exhibit A: [Description]
Exhibit B: [Description]
Exhibit C: [Description]
5.1 I make this solemn declaration conscientiously believing the same to be true and knowing that it is of the same force and effect as if made under oath, under the laws of [Jurisdiction].
Declarant: [Full Legal Name]
Date: [Date]
Signature: ___________________________
Signed and declared before me at [City/Location] on [Date].
Witness/Authorized Person Name: [Name]
Title/Authority: [Notary / Commissioner for Oaths / Justice of the Peace / Lawyer / Other]
Address (Optional): [Address]
Signature: ___________________________
Stamp/Seal (if applicable): ___________________________
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For quick answers, scroll below to see the FAQ.
Frequently asked
A Statutory Declaration is a formal written statement of facts that a person declares to be true under a statute. It is commonly used in countries and regions that recognize statutory declarations (for example, certain Commonwealth jurisdictions) as an alternative to an affidavit for specific purposes.
An affidavit is typically sworn under oath before a notary or other authorized officer. A statutory declaration is usually “declared” before an authorized witness (such as a lawyer, commissioner for oaths, or justice of the peace, depending on the jurisdiction). The required wording and witness rules vary by location.
Use it when a government agency, school, employer, insurer, or court requires a statutory declaration instead of (or in addition to) an affidavit. It is often used to confirm identity, explain missing documents, confirm relationship status, or state facts for administrative processes.
Include: the declarant’s identity and address, the purpose, clear numbered statements of fact, references to exhibits, and the required declaration wording for your jurisdiction. This template includes a customizable “statement of truth” and a witness section.
Usually yes. Many jurisdictions require the declarant to sign in front of an authorized witness. This template includes a witness section and an optional place to record the witness’s authority.
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