Annual Declaration Part B

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Email:lo@lawsocietynt.asn.au
Web: www.lawsocietynt.asn.au

This form is automatically submitted to the Law Society NT.

If an external examiner is required you will need to provide the external examiner
with a copy of this declaration.

Declarant details

Name of the law practice:

Please provide the registered trading name of your practice

The person completing this declaration is to be authorised and hold a practicing certificate

solemnly and sincerely declare as follows:

Hold the position of:

The above position entitles me to make the following declarations concerning the law practice:

The person completing this declaration is to be authorised

Most relevant senior practitioner

What is the name of the
most senior practitioner who will receive the automated copy
of this declaration?

Contact email address:

This email address will be used to send a copy of the completed declaration

1. Reporting period and trust records

Year to which this declaration relates:

How does the law practice record
and maintain trust transactions?

What is the name of the software?

Are separate trust account records maintained at any branch offices or under another law practice name?

2. General trust account reconciliation

Banking institution (ADI) name:

BSB:

Numbers only. No dashes, commas or spaces.

Account number:

Numbers Only. No spaces, No dashes

Branch address:

Was this account used to deposit entrusted funds for the entire reporting period?

From date:

To date:

Was the law practice's general trust account overdrawn during the period?

Please provide an explanation and a list of the date(s).
This information is also to be provided to your examiner:

2.1 General trust account reconciliation

(a) Balance as per approved ADI statement as at 31 March:

Numerals and decimal points ONLY. If Zero enter in the following format 0.00 No dashes, commas, dollar signs, or spaces

(b) LESS unpresented cheques:

Numerals and decimal points ONLY. If Zero enter in the following format 0.00 No dashes, No commas, No dollar signs, or spaces

(c) SUB TOTAL (a) - (b):

(d) ADD outstanding deposits:

Numerals and decimal points ONLY. If Zero enter in the following format 0.00 No dashes, No commas, No dollar signs, or spaces

(e) ADD other adjustments:

Numerals and decimal points ONLY. If Zero enter in the following format 0.00 No dashes, No commas, No dollar signs, or spaces

(f) LESS other adjustments:

Numerals and decimal points ONLY. If Zero enter in the following format 0.00 No dashes, No commas, No dollar signs, or spaces

(g) CALCULATED TOTAL:

3. Cash book & ledger account details

Number of client/matter ledgers which have a balance as at 31 March:

Numbers ONLY. No dashes, No commas, No dollar signs, or spaces Note excludes Ledger Accounts with Nil Balances

Attach a list of all client/matter ledgers and their balances

You do have the option of forwarding supporting documents separately via email or post. Please ensure adequate labeling

(h) Cash book balance as at 31 March:

Numerals and decimal points ONLY. If Zero enter in the following format 0.00 No dashes, No commas, No dollar signs, or spaces

(i) TOTAL of all trust ledger account balances as at 31 March with credit balance:

Numerals and decimal points ONLY. If Zero enter in the following format 0.00 No dashes, No commas, No dollar signs, or spaces

(j) LESS any debit balances:

Numerals and decimal points ONLY. If Zero enter in the following format 0.00 No dashes, No commas, No dollar signs, or spaces

(k) Total all trust ledger accounts (i) - (j):

Variance between cash book and ledger accounts:

Numerals and decimal points ONLY. If Zero enter in the following format 0.00

As at 31 March was there a difference between the reconciled statement balance, cash book and list of trust ledger accounts
and their balances:

If yes, what was the reason for the difference?

Does the law practice have any client ledger accounts
which were overdrawn during the period?

If the response is YES please provide a list of the accounts and any explanations to the External Examiner

Ledger account name/matter ref:

Attach additional details if space is insufficient

Date ledger recorded debit balance:

Debit balance amount:

Numbers and decimal points ONLY

4. Controlled money details as at 31 March

Balance at end of period:

Numbers and decimal point only. No dashes, No commas, No dollar signs, or spaces

Number of accounts held during period:

Numbers only.

5. Invested trust money as at 31 March

Balance at end of period:

Numbers and decimal point only. No dashes, No commas, No dollar signs, or spaces

Number of accounts held during period:

Numbers only.

6. Trust money subject of a specific power as at 31 March

Balance at end of period:

Numbers and decimal point only. No dashes, No commas, No dollar signs, or spaces

Number of accounts held during period:

Numbers only.

7. Transit money as at 31 March

Balance at end of period:

Numbers and decimal point only. No dashes, No commas, No dollar signs, or spaces

Number of accounts held during period:

Numbers only.

Additional information

If considered necessary, please provide the Society with any additional information:

Declaration

I make the following declaration:

a) The above trust monies, ledgers and accounts have been properly kept in accordance with the provisions of the Legal Profession Act and Regulations:

Please provide details:

b) All monies have been dealt with in accordance with the requirements of the Legal Profession Act and Regulations:

Please provide details:

and:

I am the person identified in the 'Declarant details' section above;
I am the person submitting this form;I make this declaration by way of an unattested declaration under section 21 of the Oaths, Affidavits and Declarations Act 2021;The information provided in this declaration is true and I know that it is an offence to make a declaration that is false in any material particular;I acknowledge that by uploading a copy of my electronic signature or typing my name in the 'Signature' box below I intend to sign this unattested declaration in compliance with the Electronic Transactions (Northern Territory) Act 2000.

Signature

Please sign here by uploading an image of your signature:

or, type your name to sign:

Your name:

Your email address:

Date of declaration:

Place of declaration:

This is an unattested declaration under section 21 of the Oaths, Affidavits and
Declarations Act 2010.
Section 119 of the Criminal Code Act 1983 (NT) provides that a person making an unattested declaration that, in any material particular, is to his or her knowledge false, is guilty of a crime and is liable to imprisonment for 3 years.
This unattested declaration does not need to be witnessed.

Contact Information