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Annual Declaration - Signatories - Persons authorised to effect withdrawals 1 July (r55)(2)(b)

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

This form is automatically submitted to the Law Society

Regulation 55(2)(b) provides that a law practice must during July of each year give the Law Society written notice of the names and addresses of the associates and Australian legal practitioners who have been authorised (as at 1 July.)

(i) to sign cheques drawn on the general trust account of the practice or

(ii) otherwise effect, direct or give authority for the withdrawal of money from the general trust account of the practice

Law practice and notification details

Name of law practice

This is the name under which the practice trades

What is the Firm ID number?

This number was issued via letter dated 22 June 2011 to your practice.

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

Contact email address

This email will be used to send a copy of the submitted notification

An automated copy of this notification will be sent to this email address. A copy should be retained for future reference (e.g. external examination reports).

Year to which this notification relates

Number of general trust accounts maintained

General Trust account details

Name of trust account

The name as it appears on the bank statement

Name of the ADI where the trust account is maintained

Branch location

please provide street name, suburb and city if appropriate

BSB

numbers only Do not use ashes or spaces

Account number

numbers only Do not use ashes or spaces

Which best describes how withdrawals are effected on this trust account?

Number of persons authorised to effect withdrawals from this trust account

Please use numerals only

Authorised Persons' details

Name of authorised person

What authority does this person have

Which best describes this person in regard to trust account cheques

If you consider the signatory falls into one or more categories please choose the most relevant

Which best describes this person in regards to EFT withdrawals

What is the signatory's current practicing certificate number

Date at which the authorisation commenced

Residential Address of this person

Suburb

State or Territory

Post Code

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Notifier's details

Name of person submitting this notification

Describe the position held by the person completing this notification

I am authorised by the law practice to submit this notification

This notification, duly completed and submitted is accepted as written notification required under r55(2) of the Legal Profession Regulations 2007

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Contact Information