Declaration of no receipt trust funds - motor vehicle dealer

This publication is for: 
Motor industry

Who needs to complete this form?

Motor vehicle dealers who did not receive any trust funds for the audit period may be required to lodge this declaration with Consumer Protection.

Why complete this form?

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

  • any money was neither received nor held in the course of business as a motor vehicle dealer for or on behalf of any person;
  • the statements and information provided herein are correct to the best of your knowledge and belief;
  • this declaration is true and you know it is an offence to make a declaration knowing that it is false in a material particular; and
  • this declaration is made under the Oaths, Affidavits and Statutory Declarations Act 2005.

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 email to or post to Locked Bag 100, EAST PERTH WA 6892.

For further enquiries please contact the Trust Audit team on 08 6552 9538 

Consumer Protection
Form – notification
Last updated 21 Jun 2019

Last modified: