Application to file a statutory declaration out of time
Published date | 21 March 2018 |
Subject Matter | Traffic Enforcement Centre forms |
Application to file a Statutory Declaration Out of Time Form PE2
Traffic Enforcement Centre St Katharine’s House 21-27 St Katharine’s Street Northampton, NN1 2LH |
Penalty Charge Number |
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Vehicle Registration Number |
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Applicant |
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Location of Contravention |
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Date of Contravention |
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This declaration must be sworn before a Commissioner for Oaths (e.g. a Solicitor), a Justice of the Peace (at any Magistrates Court) or an officer of your local county court before sending the declaration to the Traffic Enforcement Centre at the above address. You may have to pay a fee. Please complete this form in BLOCK CAPITALS and in black ink.
I, (full name and address of the respondent including postcode)
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The above named respondent, apply for leave to file a Statutory Declaration out of time.
My reasons for filing the Statutory Declaration outside the given time are as follows: (Do not give your reasons for appeal against the original penalty charge on this form).
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Important: Filing a false declaration knowingly and wilfully is a criminal offence under Section 5 of the Perjury Act 1911 and you may be imprisoned for up to 2 years or fined or both.
I do solemnly and sincerely declare that the information given here is true.
Signed: |
Dated: |
Declared at: in the
This day of 20
Before me at*
Commissioner for Oaths/Officer of the Court appointed by...
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