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SUPREME/DISTRICT/MAGISTRATESCOURT OF QUEENSLAND
REGISTRY:
NUMBER:

Plaintiff1:

(Insert Name)
AND

[First] Defendant2:

(Insert Name)
AND

[Second Defendant:]

(Insert Name)
AFFIDAVIT

(Full name of deponent) of (residential or business address, or place of employment),
(occupation or other description) states on oath [or: solemnly and sincerely affirms
and declares]:
1.

I am etc

2.

Exhibit A to this affidavit is etc

If the affidavit extends over more than one page, at the foot of the first and every
other page except the last:
Page 1
Signed: (deponent/s to sign)

Taken by: (person taking the affidavit to sign)

At the end of the body of the affidavit:
Sworn [or: Affirmed] by (full name) on (date) at (place) in the presence of:
Signed: (deponent/s to sign)

AFFIDAVIT
Filed on Behalf of the (party)
Form 46, Version 1
Uniform Civil Procedure Rules 1999
Rule 431

(Person taking the affidavit to sign)

Name:
Address:
Phone No:
Fax No:

Deponent

(Commissioner for Declarations/Solicito