Form Cu 56 - Revenue

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C.U. 56
STATUTORY DECLARATION FOR PLATE
Customs
IMPORTED FOR PRIVATE USE
and
(REVENUE ACT. 1883, 46 & 47 Vic., c. 55)
Excise
I
of
do in conformity with Sub-Section 12 of Section 10 of the Revenue Act, 1883, as
adapted by the Assay (Gold and Silver Plate and Watch Cases) Adaptation Order,
1927, solemnly and sincerely declare, that the articles of Plate hereinafter named, that
is to say:-
imported on the
day of
20
, by the vessel/
conveyance
at
(Port or Station), are my property and are
imported for private use and not intended for sale or exchange.
And I make this solemn declaration conscientiously believing the same to be
true, and by virtue of the Statutory Declarations Act, 1938.
Signature of Owner
Declared before me by
Who is personally known to me (or who is identified to me by
who is personally known to me) at
this
day of
20
THIS DECLARATION MAY BE MADE IN THE PRESENCE OF:-
(a) A Notary Public; or
(b) A Commissioner for Oaths; or
(c) A Peace Commissioner; or
(d) A person authorised by law to take and receive statutory declarations.
152698, 10-35, 10,000, G10-03, I.S.P.

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