The declaration in the format set out below must be made on behalf of the entity by 2 directors of the entity or, if the entity has only 1 director, by that director.
I, [name of director of entity], of [place, occupation], solemnly and sincerely declare that—
I am a director of [name of entity]; and
the incorporation or registration number of [name of entity] is [incorporation or registration number]; and
[name of entity] was an inactive entity (as defined in section 45(4) of the Financial Reporting Act 2013) in respect of the accounting period ending on [balance date].
Declared at [place] this [date] day of [month, year]
Signature of person authorised to take statutory declaration: