TASMANIA
STATUTORY DECLARATION
I....................................................................................................................
Of...................................................................................................................
..........................................................................................................................
in Tasmania, do solemnly and sincerely declare that:
AND I make this solemn declaration under the Oaths Act 2001.
Declared at.....................................................
this ................ day of ...................................... 200
........................................................
(Sign here)
before me:
........................................................
........................................................
Justice of the Peace
Number …………..