Annual Declaration Part A

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Email: tas@lawsocietynt.asn.au
Web: www.lawsocietynt.asn.au

This form is automatically submitted to the Law Society

If an external examiner is required you will need to provide the external examiner with a copy this declaration.

Declarant details

Name of the law practice

Please provide the trading name of the practice

I, the person completing this Declaration

Hold position of

Describe your position

The Society, views only those persons holding a practicing certificate as eligible to make the following declaration.

The above position entitles me to make the following declarations concerning the law practice and entrusted funds.

Most relevant senior practitioner

What is the name of the most senior practitioner who will receive the automated copy of this Declaration?

Contact email address

An automated copy of this Declaration will be sent to this address.

Law practice registration details

Have the law practice registration details changed in the last 12 months (eg ABN Number)

Registration Details

ACN Number (if appropriate)

Incorporation number (if appropriate)

The law practice has traded as

The law practice's ABN

No dashes or spaces

Registered business number (if appropriate)

Law practice location

Has the law practice location changed in the last 12 months?

Location Details

What is the street address of the law practice

Suburb

State

Postcode

Law practice postal details

Has the law practice postal address changed in the last 12 months?

Postal Details

What is the postal address of the law practice

Suburb

State

Postcode

Law practice branch details

Does the law practice operate branches within the Northern Territory

Location of branches

What is the street address of the branch

Suburb

State

Postcode

Provision of Legal Services by the law practice

Year to which this declaration relates:

Did the law practice provide legal services during this year?

From date