form a statutory declaration of assets, liabilities and income
form a statutory declaration of assets, liabilities and income
form a statutory declaration of assets, liabilities and income
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13. PARTICULARS OF ANY PROPERTY ACQUIRED OR DISPOSED OF BY<br />
DECLARANT, SPOUSE AND CHILDREN (DURING PERIOD OF 12<br />
MONTHS OR OTHER PERIOD WHERE APPROPRIATE) ENDING ON…<br />
………………………………………<br />
Description <strong>of</strong> Property<br />
Acquisition<br />
or Disposal<br />
Cost <strong>of</strong><br />
Acquisition<br />
Price <strong>of</strong><br />
Disposal<br />
I do solemnly <strong>and</strong> sincerely declare that the particulars given by me herein are, to the<br />
best <strong>of</strong> my knowledge, true, accurate <strong>and</strong> complete.<br />
Signed at………………………………………………………<br />
Signature <strong>of</strong> Declarant<br />
This…….…day <strong>of</strong>………………………………..before<br />
Justice <strong>of</strong> the Peace<br />
for the Parish <strong>of</strong><br />
…………………..<br />
Official Receipt<br />
Received from …………………….…..………… Statutory Declaration for the period<br />
Declarant’s Name<br />
ending ……….………………………..<br />
OFFICIAL<br />
STAMP<br />
...……………...…<br />
Signature<br />
Date:…………….
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