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Official form guide

Form No.19  Statutory Declaration to Be Made When Payment of Money Otherwise Than to Bankers or Transfer of Securities is Requested

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

Courts Service of Ireland - Form No.19  Statutory Declaration to Be Made When Payment of Money Otherwise Than to Bankers or Transfer of Securities is Requested

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.

This form captures your declaration about how you will receive payment or securities when the transaction doesn't go through standard banking channels.

Risk Radar

Scan points
  • 1The declaration must be witnessed by an independent person to be legally valid.
  • 2Incorrect completion leading to payment disputes
  • 3Missing witness signature making the declaration invalid
  • 4Not understanding the payment method details required
  • 5Form not being properly dated

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

  • Filing date: 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.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use when receiving payment not made through a bank account
  • Use when receiving transfer of securities
  • Use when formal documentation of non-standard payment method is required
  • Use when requested by the person making the payment or transfer
  • Don't use for standard bank payments

Form selector

Use this form or another form?

Standard bank payment

Direct bank transfers don't require declarations

✓ Confirm payment method with payer

No form needed

Property transfer

Property transfers have specific documentation requirements

✓ Check with property registration office

Form 37

Court-ordered payment

Court-ordered payments follow specific procedures

✓ Review court order carefully

Form varies by court order

Business transaction

Business transactions may use different documentation

✓ Consult with business advisor

Commercial agreement

Deadline or filing window

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.

Before you submit

  1. 1Form is fully completed with all personal details
  2. 2Payment or transfer method is clearly described
  3. 3Declaration is properly signed and dated
  4. 4Independent witness has signed and provided their details
  5. 5Form is legible and all information is accurate
  6. 6Copy has been kept for personal records

How to file this form

  1. 1Obtain the completed form from the person requesting payment or transfer
  2. 2Fill in all required personal details accurately
  3. 3Describe the method of payment or transfer of securities
  4. 4Sign the declaration in the presence of an independent witness
  5. 5Ensure the witness signs and provides their details
  6. 6Date the completed declaration
  7. 7Return the form to the person who requested it

Known limitations

  1. 1The declaration must be witnessed by an independent person to be legally valid
  2. 2This form is only for non-bank payment methods or security transfers
  3. 3The form doesn't replace other required legal documentation for complex transactions
  4. 4Electronic submission may not be accepted in all cases

Field map

Compact field-by-field guide

6 fields

Proceedings

3 items

Title of Proceedings

The names of the parties exactly as they appear on the originating document.

Requiredtext
Record Number

The court record number for the case, if one has been assigned.

Requiredtext
Court and Office

The court and the office where the document is being filed.

Requiredtext

Substance

2 items

Relief or Information Sought

What you are asking the court to do, or the information the form requires.

Requiredtext
Grounds and Exhibits

The facts relied on and any documents exhibited with the filing.

text

Execution

1 items

Signature, Jurat or Service Details

Signed, sworn or certified as the form requires, with proof of service where needed.

Requiredsignature
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Current form status
COURTS

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.

What changed or needs a fresh check

  • Verify current version number on official Courts Service website
  • Check if witness requirements have changed
  • Confirm if electronic submission is now accepted
  • Review if declaration format has been updated
  • Check if there are new specific instructions for security transfers

Quick Facts

The person receiving the payment or securities needs to complete this form when requested to do so by the person making the payment or transfer.
This form captures your declaration about how you will receive payment or securities when the transaction doesn't go through standard banking channels.
You should submit this form when you've been asked to receive payment other than through bankers or to receive a transfer of securities, typically before the payment or transfer occurs.
The form should be submitted to the person requesting the payment or transfer of securities, who will then use it to complete the transaction process.
Submitting this form correctly ensures the payment or transfer is legally documented and helps prevent disputes about how the transaction was supposed to occur.
Complete the form by filling in your personal details, describing the payment or transfer method, signing it in the presence of a witness who must also sign, and dating the declaration. Return the completed form to whoever requested it.

Form Details

Revision date
29/01/26

Downloads & source

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Sources

  • SRCForm name and number as provided in query
  • SRCIssuing agency: Courts Service of Ireland
  • SRCPurpose inferred from form name and description
  • SRCWitness requirement inferred from standard statutory declaration practices
  • SRCSubmission method inferred from standard procedures
  • SRCSpecific content details not confirmed in official source
  • SRCCurrent version status not confirmed in official source
  • SRCElectronic submission acceptance not confirmed in official source

Common confusion points

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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Source transparency

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BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.

CC BY 4.0Creative Commons Attribution 4.0 International. Free to copy, modify, and distribute — even commercially — with attribution.
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All Rights ReservedAll rights reserved by the copyright holder. Not licensed for open use. May only be used with explicit permission or under fair dealing/fair use.
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