Statutory Declaration

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STATUTORY DECLARATION
I __________________________of _______________________________ in Zambia
do solemnly and sincerely declare as follows:
(Residential Address)
1. That my full names are as indicated above
2. That I reside at _______________________________________
3. That my nationality is _________________________________________________
4. That I am a Director of _____________________________________ (the company)
and am duly authorized to make this declaration on its behalf
5. That the company was incorporated on the ______day of ____________________
and is registered under LCO:____________
6. That since the year ____________ the company has not carried on any business and
has not been in operation
7. That the company thus has no asset and neither has it got any debts liabilities.
8. That as the company has not been in business since ______________________,
9. That it has been resolved that the company be struck-off the register at the Companies
Registry as it is a defunct company.
And I make the solemn declaration conscientiously believing the same to be true and by virtue of the
provisions of the statutory Declaration Act, 1835 of the United Kingdom.
Declared
at……………………………………………………………………………………………..
the……………………………………..…day
of…………………………………………20…………
Before
me,………………………………………………………………………………………………
(Commissioners for Oaths, Or Notary Public)

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