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Statutory Declaration Form pdf

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Sworn statement of: (FULL NAME)<br />

I (FULL NAME) residing at (ADDRESS) do hereby solemnly affirm and say as<br />

follows:<br />

That on the (DATE OF ENFORCEMENT VISIT) I received an enforcement agent at<br />

my address without been given a statutory enforcement notice of enforcement.<br />

Regulation 3 of the Taking Control of Goods (Fees) Regulations 2014 shall apply.<br />

And I make this solemn declaration conscientiously believing the same to be true<br />

and by virtue of the <strong>Statutory</strong> <strong>Declaration</strong>s Act 1835 and to discharge my burden of<br />

proof under section 7 of the Interpretation Act 1978.<br />

__________________ ________________<br />

(Signature of applicant)<br />

Declared at: ___________________________________________________<br />

(Place where sworn)<br />

ON THIS DAY THE____________________ ________________________<br />

(Date in words)<br />

BEFORE ME__________________________________________<br />

(Solicitor / Commissioner of Oath / Notary Public)

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