Northern Territory Consolidated Acts

COMPANIES (UNCLAIMED ASSETS AND MONEYS) ACT - SCHEDULE 2

Schedule 2

section 10

NORTHERN TERRITORY OF AUSTRALIA

COMPANIES (UNCLAIMED ASSETS AND MONEYS) ACT

STATUTORY DECLARATION

    I, ( insert name, address, and occupation) , do solemnly and sincerely declare:

(1)     That I am an officer of (insert name of company).

(2)     That, in accordance with the provisions of the Companies (Unclaimed Assets and Moneys) Act, the company has duly entered all moneys which became unclaimed moneys within the meaning of the Act during the year 19 in a register kept by the company at its head or principal office in the Northern Territory.

(3)     That the register correctly and completely sets forth the particulars of all such unclaimed moneys.

(4)     That the accompanying copy of the register is a true copy.

This declaration is true and I know it is an offence to make a declaration knowing it is false in a material particular.

Declared by

[Signature of person making declaration]    

at [place]     on [date]    

Witnessed by

[Signature of witness]    

[Name]    

[Address or telephone number]    

NOTE:     Making a declaration knowing it is false in a material particular is an offence for which you may be fined or imprisoned.