Application for discharge of surety and statutory declaration of no receipt of trust funds - Debt collectors

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Debt collector

Release of Bank Guarantee – Statutory Declaration

Who needs to complete this form?

Persons who wish to request the return of their Bank Guarantee two years following the cessation of their Debt Collector licence are required to lodge this form with Consumer Protection.

Why complete this form?

To declare as an individual or body corporate or on behalf of a partnership:

  • that the licensee did not carry on business as a Debt Collector following the cessation of the licence;
  • any money was neither received nor held in the course of business as a debt collector for or on behalf of any person following the cessation of the licence. 

What do I need to complete a declaration?

  • complete all sections of the above form;
  • provide full name and address details; and
  • sign the form in the presence of an authorised witness.

Full details of professions listed as authorised witnesses by the Oaths, Affidavits and Statutory Declarations Act 2005 are available by visiting the Department of the Attorney General’s website or calling 08 9264 1600.

You can lodge your completed statutory declaration by post to Locked Bag 100, EAST PERTH WA 6892 or in person at Level 1, 303 Sevenoaks Street, Cannington WA 6107.

For further enquiries please contact Consumer Protection Licensing on 1300 30 40 64. 

Statutory declaration.  Debt Collectors Licensing Act 1964, Section 21. 


Consumer Protection
Form – application
Last updated 21 Sep 2020

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