263 / 298
4.
(Widow)
I A.B. of
aged twenty-one years and upwards
DO SOLEMNLY AND SINCERELY DECLARE
AND SAY as follows:—
(1) By an Agreement for Sale dated the
day of
19
I agreed to sell the premises known as
to X.Y.
(2) I was married to C.D. on the
day of
19
and I refer to a copy Certificate of said Marriage
marked with the letter "A" upon which I have signed my
name prior to the completion hereof. The said C.D. died
on the
day of
19
and I refer to a copy
Death Certificate upon which marked with the letter "B"
I have signed my name prior to the completion hereof.
(3) I have not been married to any person other than
C.D. and I have not remarried since the date of his death.
(4) I make this Solemn Declaration for the satisfaction
of the said X.Y. conscientiously believing the same to be
true for the purposes of the Family Home Protection Act
1976 and by virtue of the Statutory Declaration Act
1938.
DECLARED before me by
the said A.B. who is
personally known to me (or
who is identified to me by
who is personally
known
to
me)
at
in the City of
this
day
of
19
and I know the Declarent.
COMMISSIONER
FOR
OATHS
5.
(Divorced)
I A.B. of
aged twenty-one years and upwards
DO SOLEMNLY AND SINCERELY DECLARE
AND SAY as follows:
(1) By an Agreement for Sale dated the
day of
I agree to purchase the premises known as
from X.Y. and by Deed by
dated
the
day of
19
the premises were
to me.
(2) At the date of the said Agreement I was and at the
date hereof I remain a single person. By virtue of an
Order of the Court of
made the
day of
19 a copy upon which marked with the letter
"A" I have signed my name prior to the completion
hereof whereby the marriage between myself and C.D.
was dissolved and since the said date I have not been
remarried to any person.
(3) My said spouse C.D. at no time lived either as my
wife or otherwise at the said premises which were only
bought by me subsequent to the date of the said Court
Order aforesaid.
(4) I make this Solemn Declaration for the satisfaction
of the
Building Society from whom I am
obtaining a loan on the security of the said premises
conscientiously believing the same to be true for the
purposes of the Family Home Protection Act 1976 and
by virtue of the Statutory Declarations Act 1938.
DECLARED before me by
the said A.B. who is
personally known to me (or
who
is
identified
by
who
is
personally known to me) at
in the City
of
this
.^y
of
19
and
I know Deponent.
COMMISSIONER
FOR
OATHS
6.
(Not a House)
I A.B. of
aged twenty-one years and upwards
DO SOLEMNLY AND SINCERELY DECLARE
AND SAY as follows:—
(1) By an Agreement for Sale dated the
day of
19
my spouse C.D. agreed to sell the plot
or site of ground known as
to X.Y.
(2) The plot aforesaid has been owned by my spouse
since prior to the 12th July 1976 (or whatever later date
may be applicable).
(3) I was married to the said C.D. on the
day of
19 and I refer to a copy Certificate of said
Marriage upon which marked with the letter "A" I have
signed my name prior to the completion hereof. I am now
the lawful spouse of C.D. and I have not been married to
any other person than C.D. since that date.
(4) The said plot has never during the period of my
spouse's ownership had a dwellinghouse erected on it and
there has not during that period been a married couple
ordinarily residing thereon nor has the plot been attached
to or usually occupied with such a dwelling or otherwise
required for the amenity or convenience of same.
(5) I make this Solemn Declaration for the satisfaction
of the said X.Y. conscientiously believing the same to be
true for the purposes of the Family Home Protection Act
1976 and by virtue of the Statutory Declarations Act
1938
DECLARED before me by
the said A.B. who is
personally known to me (or
who
is
identified
by
who is
personally known to me) at
in the City of
this
day
of
19
, and 1
know the Deponent.
COMMISSIONER
FOR
OATHS
8