Declaration

The document is a declaration form where the declarant affirms the completeness and accuracy of the information provided, under the penalty of law for any falsehoods as per section 234 of the Residential Tenancies Act 2006. It requires the declarant’s name, signature, and the date of signing. The form also includes a section for office use only, detailing the method of delivery and the form’s specifications, such as its version, image format, and dimensions.

To fill out this declaration form, follow these steps:

1. File Number: Enter the file number associated with your case or application.
2. City/Town/Municipality: Indicate the name of the city, town, or municipality relevant to your declaration.
3. Declaration Statement: Read the statement carefully. It highlights your acknowledgment that the information provided is complete and accurate to the best of your knowledge, and it reminds you of the legal implications of filing false or misleading information under section 234 of the Residential Tenancies Act 2006.
4. Name: Print your full name clearly.
5. Signature and Date: Sign your name and date the form using the format (dd/mm/yyyy).

For office use only, details like delivery method and form specifications are not required from your end.