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No Pool Statutory Declaration Vendor - Land and Planning Services

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<strong>No</strong> <strong>Pool</strong> <strong>Statutory</strong> <strong>Declaration</strong><br />

<strong>Vendor</strong><br />

A2V<br />

The original copy of this statutory declaration must be provided to the Office of the Registrar General<br />

(photocopies or faxed copies will NOT be accepted for settlement purposes).<br />

<strong>No</strong>te: Every vendor of the premises being transferred must complete the statutory<br />

declaration below.<br />

VENDOR 1<br />

Oaths, Affidavits <strong>and</strong> <strong>Declaration</strong>s Act 2010<br />

I ………………………………………………………………………………………………….…………………<br />

[Full name of vendor]<br />

of: ……………………………………………………………………………………………………………….…<br />

[Current residential address]<br />

…………………………………..………..…………<br />

[Business contact number]<br />

…………………………………..………..…………..<br />

[Home contact number]<br />

do solemnly <strong>and</strong> sincerely declare as follows:<br />

1. I am the vendor of the following premises:<br />

2.<br />

………………………….………………………………………………..…………………………. <strong>and</strong><br />

[Address of premises that are being transferred]<br />

3. there is no swimming pool or spa at the premises being transferred.<br />

And I make this solemn declaration by virtue of the Oaths Affidavits <strong>and</strong> <strong>Declaration</strong>s Act <strong>and</strong><br />

conscientiously believing the statements contained in this declaration to be true in every particular.<br />

Declared at ………………………………....……… the……….. day of………….……………..……. 20<br />

[Location] [Day] [Month]<br />

………………………………………………………<br />

[Signature of the person making the declaration]<br />

Before me: …………………………………………………………….………………………………………….<br />

[Signature of the person before whom the declaration is made]<br />

Name, contact address <strong>and</strong> telephone number before whom declaration is made<br />

……………………………………………………………………………………………………………………..<br />

[Name]<br />

…………………………………..………..…………<br />

[Address]<br />

…………………………..……..……………………..<br />

[Contact no]<br />

This declaration may be made before any person who has attained the age of 18 years.<br />

<strong>No</strong>te: a person who wilfully makes a false statement in a <strong>Statutory</strong> <strong>Declaration</strong> is guilty of a crime <strong>and</strong> is liable to imprisonment for 3 years<br />

(section 119 Criminal Code). Furthermore, a person who does anything to a declaration that results in it becoming false or<br />

misleading, is liable to a penalty of a fine or imprisonment, or both (section 27 Oaths, Affidavits <strong>and</strong> <strong>Declaration</strong>s Act)<br />

DEPARTMENT OF LANDS, PLANNING AND THE ENVIRONMENT<br />

www.l<strong>and</strong>s.nt.gov.au/building


<strong>No</strong> <strong>Pool</strong> <strong>Statutory</strong> <strong>Declaration</strong><br />

<strong>Vendor</strong><br />

VENDOR 2 (if applicable):<br />

A2V<br />

Oaths, Affidavits <strong>and</strong> <strong>Declaration</strong>s Act 2010<br />

I ………………………………………………………………………………………………………….…………<br />

[Full name of vendor]<br />

of: ……………………………………………………………………………………………………………….…<br />

[Current residential address]<br />

…………………………………..………..…………<br />

[Business contact number]<br />

…………………………………..………..…………..<br />

[Home contact number]<br />

do solemnly <strong>and</strong> sincerely declare as follows:<br />

1. I am the vendor of the following premises:<br />

………………………….………………………………………………..………………………….; <strong>and</strong><br />

[Address of premises that are being transferred]<br />

2. there is no swimming pool or spa at the premises being transferred.<br />

And I make this solemn declaration by virtue of the Oaths Affidavits <strong>and</strong> <strong>Declaration</strong>s Act <strong>and</strong><br />

conscientiously believing the statements contained in this declaration to be true in every particular.<br />

Declared at ………………………………....……… the……….. day of………….……………..……. 20<br />

[Location] [Day] [Month]<br />

………………………………………………………<br />

[Signature of the person making the declaration]<br />

Before me: …………………………………………………………….………………………………………….<br />

[Signature of the person before whom the declaration is made]<br />

Name, contact address <strong>and</strong> telephone number before whom declaration is made<br />

……………………………………………………………………………………………………………………..<br />

[Name]<br />

…………………………………..………..…………<br />

[Address]<br />

…………………………..……..……………………..<br />

[Contact no]<br />

This declaration may be made before any person who has attained the age of 18 years.<br />

<strong>No</strong>te: a person who wilfully makes a false statement in a <strong>Statutory</strong> <strong>Declaration</strong> is guilty of a crime <strong>and</strong> is liable to imprisonment for 3 years<br />

(section 119 Criminal Code). Furthermore, a person who does anything to a declaration that results in it becoming false or<br />

misleading, is liable to a penalty of a fine or imprisonment, or both (section 27 Oaths, Affidavits <strong>and</strong> <strong>Declaration</strong>s Act)<br />

This declaration together with a statutory declaration signed by the purchaser/s must be provided to the Office<br />

of the Registrar General in relation to the transfer of premises less than 1.8 hectares in area.<br />

DEPARTMENT OF LANDS, PLANNING AND THE ENVIRONMENT<br />

www.l<strong>and</strong>s.nt.gov.au/building

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