Circuit Court Forms

FORM 37D

AN CHÚIRT TEAGHLAIGH CHUARDA

THE CIRCUIT FAMILY COURT

                  CIRCUIT                                                                          COUNTY OF

IN THE MATTER OF THE JUDICIAL SEPARATION AND FAMILY LAW REFORM ACT, 1989 AND IN THE MATTER OF THE FAMILY LAW ACT, 1995

OR

IN THE MATTER OF THE FAMILY LAW (DIVORCE) ACT, 1996

AND IN THE MATTER OF AN INTENDED ACTION (if appropriate)

Between A.B .........., Applicant

and C.D ............., Respondent

STATUTORY DECLARATION PURSUANT TO SECTION 5 OR SECTION 6 OF THE JUDICIAL SEPARATION AND FAMILY LAW REFORM ACT, 1989 OR SECTION 6 OR SECTION 7 OF THE FAMILY LAW (DIVORCE) ACT, 1996

I, ......, solicitor, of ...... aged eighteen years and upwards, do solemnly and sincerely declare that:

1. I am the solicitor for the *Applicant/*Respondent in the above-entitled * (intended) proceedings.

2. I have complied with the requirements of *section 5 of the Judicial Separation and Family Law Reform Act 1989 *section 6 of the Judicial Separation and Family Law Reform Act 1989 *section 6(2) *(and 6(3)) of the Family Law (Divorce) Act 1996 *section 7(2) *(and 7(3)) of the Family Law (Divorce) Act 1996.

I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act 1938.

Signed: ............

Declared before me ........ [name in capitals] a *(Judge of the District Court) * (commissioner for oaths/practising solicitor) *(peace commissioner) *(notary public) by the said ........

*[who is personally known to me],

*[who is identified to me by ........... who is personally known to me]

*[whose identity has been established to me before the taking of this Declaration by the production to me of

†passport no ............ issued on the ...... day of. ......... by the authorities of ........., which is an authority recognised by the Irish Government,

†national identity card no......... issued on the ...... day of ........... by the authorities of ........... which is an EU Member State, the Swiss Confederation or a Contracting Party to the EEA Agreement,

†Aliens Passport no. (........ issued on the ...... day of .......... by the authorities of ............ which is an authority recognised by the Irish Government,

†refugee travel document no ......... issued on the ...... day of .......... by the Minister for Justice and Equality,

† travel document (other than refugee travel document) .......... issued on the ...... day of ........... by the Minister for Justice and Equality,]

at .......... this ...... day of ..... 20.......

Signed: ................

*Judge of the District Court *Commissioner for Oaths / *Practising Solicitor /*Peace Commissioner /* Notary Public.

* Delete where inapplicable.

†Where relevant, provide details of the document by which identity has been established, and delete the remaining alternative.