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Get Au Mlc Potential Beneficiary Statutory Declaration

is guilty of an offence under section 11 of the Statutory Declarations Act 1959 (Cwlth), and I believe that the statements in this declaration are true in every particular. Name of person making the declaration Date  / / Declared at (Place Declared) on (Date Declared) / Name of deceased (PLEASE PRINT) Date of Probate / Letters of Administration Signature ✗ / / I declare that the Estate is solvent and has sufficient assets, apart from the superannuation death benefit, .

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