Official form guide
This form is a statutory declaration required when payment of money is requested to be made other than through bankers or when transfer of securities is requested. It serves as a formal declaration confirming the method of payment or transfer when standard banking channels aren't involved.
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Form Overview
This form is a statutory declaration required when payment of money is requested to be made other than through bankers or when transfer of securities is requested. It serves as a formal declaration confirming the method of payment or transfer when standard banking channels aren't involved.
Plain English
This form helps you make a formal promise (statutory declaration) when someone wants to pay you money but not through a bank account, or when they want to transfer securities to you. It's a legal document that confirms how the payment or transfer will happen.
Submission Date
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Standard bank payment
Direct bank transfers don't require declarations
✓ Confirm payment method with payer
Property transfer
Property transfers have specific documentation requirements
✓ Check with property registration office
Court-ordered payment
Court-ordered payments follow specific procedures
✓ Review court order carefully
Business transaction
Business transactions may use different documentation
✓ Consult with business advisor
There is no specific deadline for submitting this form, but it should be completed and returned promptly when requested to avoid delays in the payment or transfer process.
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Proceedings
3 items
The names of the parties exactly as they appear on the originating document.
The court record number for the case, if one has been assigned.
The court and the office where the document is being filed.
Substance
2 items
What you are asking the court to do, or the information the form requires.
The facts relied on and any documents exhibited with the filing.
Execution
1 items
Signed, sworn or certified as the form requires, with proof of service where needed.
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Fillable formOpen in Editor->This form appears to be the current version as issued by the Courts Service of Ireland, but always verify with the official source before use.
Quick Facts
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Who can act as a witness for the declaration
Whether the form needs to be notarized
How to describe the payment method accurately
If the form needs to be submitted to any government agency
Whether electronic signatures are accepted
If the declaration needs to be renewed for subsequent payments
Differences between this form and other statutory declarations
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