Annual Declaration Part A

Annual Declaration Part A

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Email: lo@lawsocietynt.asn.au

Web: www.lawsocietynt.asn.au

This form is automatically submitted to the Law Society NT.

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:

solemnly and sincerely declare as follows:

I 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 (e.g. 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

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

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

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:

Use only the calendar provided. Do not write the date.

To date:

Use only the calendar provided. Do not write the date.

Did the law practice provide legal services under any other name?

Name of law practice:

From date:

Use only the calendar provided. Do not write the date.

To date:

Use only the calendar provided. Do not write the date.

Did the law practice provide legal services at any other location other than those provided above?

From date:

Use only the calendar provided. Do not write the date.

To date:

Use only the calendar provided. Do not write the date.

Please provide the location address:

Trust account

Did the law practice hold a general trust account
at any time during the year?

Received monies

(A) Did the law practice receive or hold money that was required to be deposited into a general trust in an approved ADI account?

(B) Did the law practice receive or hold controlled money?

If the law practice maintained more than 6 controlled accounts during the year and it is viewed impractical to enter all the required details, you may choose to upload a document which provides all the required information:

(C) Did the law practice receive direction to invest trust monies on behalf of any person?

(D) Did the law practice recieve or hold trust money subject to a specific power?

(E) Did the law practice receive or hold transit money?

Trust account details (if answered 'Yes' to A, B, C, D or E)

What type of trust account:

Name of trust account

Name of bank:

Branch location:

BSB:

No Dashes or spaces. Numbers only

Account number:

No dashes or spaces. NUMBERS ONLY

Additional information

If considered necessary, please provide the Society with any additional information:

External examination

I acknowledge that if I have answered 'Yes' to any of the questions (A-E) in the above 'Received monies' section, the law practice above is required to complete an 'Annual Declaration Part B - Trust Money Statement' and engage the services of an External Examiner:

If an External Examiner is required you will need to supply them with a copy of this declaration.

Declaration

I make the following declaration:

I am the person identified in the 'Declarant details' section above;I am the person submitting this form;I make this declaration by way of an unattested declaration under section 21 of the Oaths, Affidavits and Declarations Act 2021;The information provided in this declaration is true and I know that it is an offence to make a declaration that is false in any material particular;I acknowledge that by uploading a copy of my electronic signature or typing my name in the 'Signature' box below I intend to sign this unattested declaration in compliance with the Electronic Transactions (Northern Territory) Act 2000.

Signature

Please sign here by uploading an image of your signature:

or, type your name to sign:

Your name:

Your email address:

Date of declaration:

Place of declaration:

This is an unattested declaration under section 21 of the Oaths, Affidavits and
Declarations Act 2010.
Section 119 of the Criminal Code Act 1983 (NT) provides that a person making an unattested declaration that, in any material particular, is to his or her knowledge false,
is guilty of a crime and is liable to imprisonment for 3 years.
This unattested declaration does not need to be witnessed.

Contact Information