Notice Of Landlords Intention To Retain Security Deposit Page 4

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THE NORTHERN TERRITORY OF AUSTRALIA
OATHS AFFIDAVITS AND DECLARATIONS ACT
UNATTESTED DECLARATION
(1) Insert name and
address of person
making declaration
I
…………………………………………………………………………………………...…………………………………………….
,(1)
……………………………………………………………………………….……………………………………………………………….
(2) Here insert the
do solemnly and sincerely declare
(2)
matter declared to
- either directly
I did at …………………….
on
…………… …………. 20………
following the word
“declare” or, if the
matter is lengthy,
(time)
(day)
(month)
(year)
insert the words “as
follows” and
duly serve the Tenant/Landlord …………………………………………………………………………………………….
thereafter set out
the matter in
(tenant / landlords name)
numbered
paragraphs
with a NOTICE PURSUANT TO SECTION …………OF THE RESIDENTIAL TENANCIES ACT (a true copy of
which is annexed hereto and marked “A”) by delivering a true copy of this Notice personally / by mail
to the Tenant/Landlord at
(delete whichever is not applicable)
………..……………………………………………………………………………………………………………………………….……...
………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………….
(fully describe address/place of service)
I identified the tenant/landlord as follows:
……………………………………………………………………..………………………………………………………………………….
…………………………………………………………………………..…………………………………………………………………….
……………………………………………………………………………..………………………………………………………………….
(include how you identified the person served) (include any other details/conversations necessary including how service was
effected e.g. handing documents to person, placing documents on ground before the person)
This declaration is true and I know it is an offence to make a declaration knowing it is false in a
material particular.
Declared at ………………………the …………….……..day of …………………..… 20….
(3)
(3) Signature of the
person making the
declaration
……………………………………………………………….…
NOTE: This declaration does not have to be witnessed
NOTE: This written declaration must comply with Part 4 of the Oaths Affidavits and Declarations
Act.
NOTE: Making a declaration knowing it is false in a material particular is an offence for which you
may be fined or imprisoned.

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