[{"id":"968ca8e1-66b8-4b72-a2d3-731d6fb9da4a","order":1,"text":"SEPARATION DECLARATION","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"c9b94545-a78c-4f4a-9246-03f18d7122ef","order":2,"text":"AND STATEMENT OF SEPARATION UNDER ONE ROOF","fontSize":"15","textAlign":"center","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"6f421104-49a6-4457-a9e3-e64964efae68","order":3,"text":"Made under the Family Law Act 1975 (Cth) and the Statutory Declarations Act 1959 (Cth)","fontSize":"12","textAlign":"center","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"0f681bfa-562d-40dd-9772-4d501645608a","order":4,"text":"I, [Full name of Party 1], of [Residential address of the person making this declaration], [Occupation of the person making this declaration], do solemnly and sincerely declare as follows.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true,"displayConditions":[{"field":"9d66d437-7806-4854-bc3a-13ae73b1a75a","value":"p1","type":"add","operator":"="}]},{"id":"808ae391-6c73-465c-8c4a-0d9a3e44d013","order":5,"text":"I, [Full name of Party 2], of [Residential address of the person making this declaration], [Occupation of the person making this declaration], do solemnly and sincerely declare as follows.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true,"displayConditions":[{"field":"9d66d437-7806-4854-bc3a-13ae73b1a75a","value":"p2","type":"add","operator":"="}]},{"id":"781bdbb4-b75b-4eb2-a081-56e7f7400626","order":6,"text":"1. THE RELATIONSHIP","fontSize":"15","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"6","sectionNum":"S01"},{"id":"e24f10bb-f6f6-46a2-9126-ebc7df89a2aa","order":7,"text":"This declaration concerns the marriage between [Full name of Party 1] and [Full name of Party 2]. The parties were married on [Date of marriage] at [Place of marriage — town/city and State, or country].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c3c61b9a-73bc-4660-a5b2-8f4c911653e8","value":"marriage","type":"add","operator":"="}]},{"id":"edd9ca67-dbd7-438c-a926-fad68eff19ff","order":8,"text":"This declaration concerns the de facto relationship between [Full name of Party 1] and [Full name of Party 2]. The parties commenced living together in a de facto relationship, within the meaning of section 4AA of the Family Law Act 1975 (Cth), on or about [Date the de facto relationship commenced].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c3c61b9a-73bc-4660-a5b2-8f4c911653e8","value":"de facto relationship","type":"add","operator":"="}]},{"id":"96b9614a-1ac3-4e84-b758-dcdcdbe4e7e7","order":9,"text":"The parties ordinarily resided together at [Address of the former shared residence] (the former shared residence). In this declaration, [Full name of the person making this declaration] is referred to as the Declarant and [Full name of the other party] is referred to as the other party.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"9d66d437-7806-4854-bc3a-13ae73b1a75a","value":"p1","type":"add","operator":"="}]},{"id":"cf79cf79-905e-438c-b014-b49aa5d323a8","order":10,"text":"The parties ordinarily resided together at [Address of the former shared residence] (the former shared residence). In this declaration, [Full name of the person making this declaration] is referred to as the Declarant and [Full name of the other party] is referred to as the other party.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"9d66d437-7806-4854-bc3a-13ae73b1a75a","value":"p2","type":"add","operator":"="}]},{"id":"7d2e4c13-a23c-45e0-921a-b8b2091b55ef","order":11,"text":"2. SEPARATION AND IRRETRIEVABLE BREAKDOWN","fontSize":"15","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"6","sectionNum":"S02"},{"id":"dd6da726-18c8-489d-aea0-c11b2abce170","order":12,"text":"The Declarant and the other party separated on [Date of separation] (the date of separation). From that date, the marriage broke down irretrievably and there is no reasonable likelihood of cohabitation being resumed.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c3c61b9a-73bc-4660-a5b2-8f4c911653e8","value":"marriage","type":"add","operator":"="}]},{"id":"d379a204-72e5-40c0-af30-6960f8a47139","order":13,"text":"The Declarant and the other party separated on [Date of separation] (the date of separation). From that date, the de facto relationship ended and the parties ceased to live together on a genuine domestic basis, with no reasonable likelihood of the relationship being resumed.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c3c61b9a-73bc-4660-a5b2-8f4c911653e8","value":"de facto relationship","type":"add","operator":"="}]},{"id":"b2641c31-974d-4d8a-aa1d-d8ac65fd87ff","order":14,"text":"The intention to end the relationship was formed and communicated by [Which party formed the intention to separate]. That intention was made known to the other party by [How the separation was communicated — e.g. by a conversation on that date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"1f0c3b9b-ffea-4044-a9e1-4a6836ab2d9f","order":15,"text":"From the date of separation, the Declarant and the other party ceased to live together as a couple. The following changes to the relationship took place from that date: [Describe the changes — e.g. the parties ceased sharing a bedroom, ended their intimate relationship, and no longer conducted themselves as a couple].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"8a81d555-c478-4922-8850-00c54e618afc","order":16,"text":"The separation was not brought about by any absence occasioned by the physical incapacity, employment, imprisonment or temporary absence of either party, but by a genuine and settled intention to end the relationship. The Declarant makes this declaration freely and voluntarily, and not as a result of any duress, coercion or undue influence.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"2253fd38-3823-44e0-9fec-ff06c62ca557","order":17,"text":"3. CONTINUOUS PERIOD OF SEPARATION","fontSize":"15","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"6","sectionNum":"S03"},{"id":"96a79471-4b75-4e2c-bd6a-c356bbc3616c","order":18,"text":"Since the date of separation, the Declarant and the other party have lived separately and apart on a continuous basis. As at the date of this declaration, the parties have been separated for a continuous period of [State the length of separation — e.g. more than 12 months]. During that period there has been no resumption of cohabitation as a couple and no reconciliation of the relationship.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"78303a72-21d2-41eb-84bf-e33d1f4d0f9e","order":19,"text":"If, during the period of separation, the parties resumed cohabitation on one occasion for a period of less than three months with a view to reconciliation, that period does not, by operation of section 50 of the Family Law Act 1975 (Cth), break the continuity of the separation, although it is not counted as part of the period of separation.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"6b626374-c19f-4d42-bd84-4977740f6091","order":20,"text":"Any period during which the parties occupied the same residence following separation is explained below and did not constitute a resumption of the relationship.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"c9126a6e-fd9a-4ded-ae84-601a4be1ca19","value":"yes","type":"add","operator":"="}]},{"id":"a8f0515c-5865-42be-893c-a4df2e5663b3","order":21,"text":"Following separation, the parties did not continue to occupy the same residence.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"c9126a6e-fd9a-4ded-ae84-601a4be1ca19","value":"no","type":"add","operator":"="}]},{"id":"efb6d761-2ed5-4a1d-8b0d-2305a807ae4d","order":22,"text":"4. SEPARATION WHILE LIVING UNDER THE ONE ROOF","fontSize":"15","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"6","displayConditions":[{"field":"c9126a6e-fd9a-4ded-ae84-601a4be1ca19","value":"yes","type":"add","operator":"="}],"sectionNum":"S04"},{"id":"fca9514d-5336-447a-9101-709ab9a4470a","order":23,"text":"For some or all of the period since separation, the Declarant and the other party have continued to reside at the same address, namely [Address at which the parties have lived under one roof since separation], from [Date the under-one-roof arrangement began] to [Date it ended, or 'the present date' if ongoing]. Notwithstanding that they have shared an address, the parties have been separated in every relevant sense and have not lived together as a couple. This is a separation under one roof within the meaning of section 49(2) of the Family Law Act 1975 (Cth).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c9126a6e-fd9a-4ded-ae84-601a4be1ca19","value":"yes","type":"add","operator":"="}]},{"id":"2f84f2ff-8507-445c-9bc3-77beaf73a30f","order":24,"text":"Sleeping and living arrangements: [Describe the sleeping arrangements — e.g. from the date of separation the Declarant moved into a separate bedroom and the parties have slept apart since that date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c9126a6e-fd9a-4ded-ae84-601a4be1ca19","value":"yes","type":"add","operator":"="}]},{"id":"fbd40731-bbbb-4b27-a333-cb38d8cd6abf","order":25,"text":"Intimate relationship: since the date of separation there has been no sexual or intimate relationship between the parties, and they have not resumed the private relationship of a couple.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c9126a6e-fd9a-4ded-ae84-601a4be1ca19","value":"yes","type":"add","operator":"="}]},{"id":"6b1e1150-5370-481c-b474-22403fef484c","order":26,"text":"Financial arrangements: the parties have conducted their financial affairs independently since separation. In particular, [Describe the financial separation — e.g. the parties closed their joint account and opened separate accounts, and each now meets their own expenses and divides the household outgoings].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c9126a6e-fd9a-4ded-ae84-601a4be1ca19","value":"yes","type":"add","operator":"="}]},{"id":"c99e58f3-89f4-41e2-9f49-65a2c42389c5","order":27,"text":"Household tasks and domestic services: the parties no longer provide domestic services to one another as a couple. [Describe the domestic arrangements — e.g. the parties prepare their meals separately, attend to their own laundry, and share the common areas of the home only as necessary].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c9126a6e-fd9a-4ded-ae84-601a4be1ca19","value":"yes","type":"add","operator":"="}]},{"id":"b71c8b17-85ce-46ed-9b8b-8aa9ea3d9b8e","order":28,"text":"Public and social presentation: the parties have made their separation known to family and friends and no longer present themselves publicly as a couple. [Describe — e.g. the parties informed family and friends of the separation on or about the date of separation and no longer attend social or family events together as a couple].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"c9126a6e-fd9a-4ded-ae84-601a4be1ca19","value":"yes","type":"add","operator":"="}]},{"id":"0a99f38f-6a68-4d34-8b22-f31c6b6ac819","order":29,"text":"Reason for continuing to reside at the same address: the parties have continued to live at the same address since separation because [Explain the reason — e.g. for financial reasons, housing availability, or the care of the children]. The Declarant's intention in relation to the living arrangement is [State the future intention — e.g. to establish a separate residence once it is financially practicable to do so].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"c9126a6e-fd9a-4ded-ae84-601a4be1ca19","value":"yes","type":"add","operator":"="}]},{"id":"c3b23d23-a399-4dbf-9b75-23655b016619","order":30,"text":"5. CHILDREN OF THE RELATIONSHIP","fontSize":"15","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"6","displayConditions":[{"field":"fa53fefb-29a7-4b49-bc3f-44b6f06bd3c4","value":"yes","type":"add","operator":"="}],"sectionNum":"S05"},{"id":"a4286c92-b708-4ca9-94e8-9ed8cfc33323","order":31,"text":"There [are / is] [Number of children under 18 years of age] child or children of the relationship under 18 years of age, namely [Full names and dates of birth of the children].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"fa53fefb-29a7-4b49-bc3f-44b6f06bd3c4","value":"yes","type":"add","operator":"="}]},{"id":"9454a238-41e1-4112-8721-900555ae0ee4","order":32,"text":"Since separation, the arrangements made for the care and welfare of the child or children have been as follows: [Describe the living and care arrangements made for the children since separation]. These arrangements have been made in the best interests of the child or children.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"fa53fefb-29a7-4b49-bc3f-44b6f06bd3c4","value":"yes","type":"add","operator":"="}]},{"id":"24bd97bb-f82d-4685-bc17-da26fb829b55","order":33,"text":"6. NOTIFICATION OF GOVERNMENT DEPARTMENTS","fontSize":"15","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"6","displayConditions":[{"field":"d838feb5-263c-44f0-9eb9-157ddb4dbdb1","value":"yes","type":"add","operator":"="}],"sectionNum":"S06"},{"id":"825515e9-de9f-4f89-ab76-c5472012aa0f","order":34,"text":"The Declarant receives a payment or benefit administered by a government department. The Declarant has notified the relevant department or departments of the separation, namely [Name the department(s) notified — e.g. Centrelink / Services Australia (including any Separated Under One Roof form SS293), the Australian Taxation Office, Medicare], on or about [Date the department(s) were notified]. The effective date of the change of relationship status recorded with those departments is [Effective date of the change of status].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"d838feb5-263c-44f0-9eb9-157ddb4dbdb1","value":"yes","type":"add","operator":"="}]},{"id":"199265eb-ebcb-4758-aa39-2e1c20ad07a5","order":35,"text":"The Declarant's customer reference number or record reference with the relevant department is [Customer Reference Number (CRN) or record reference, if known — otherwise state 'not applicable'].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"d838feb5-263c-44f0-9eb9-157ddb4dbdb1","value":"yes","type":"add","operator":"="}]},{"id":"2f9e960e-01b7-4367-9fe5-0ca797155bd2","order":36,"text":"7. PURPOSE OF THIS DECLARATION","fontSize":"15","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"6","sectionNum":"S07"},{"id":"15053fb5-0d85-40d3-824c-aec0484508fb","order":37,"text":"The Declarant makes this declaration for the purpose of [State the purpose — e.g. an application for divorce, an application to Centrelink or Services Australia, or in support of a financial or property matter], and for any other lawful purpose connected with the breakdown of the relationship.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"43d0c65d-581c-4a44-8823-6b0186ca3179","order":38,"text":"8. CORROBORATING EVIDENCE","fontSize":"15","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"6","displayConditions":[{"field":"5ac5357d-1bf6-4db0-a4b5-d6d26f4c12d1","value":"yes","type":"add","operator":"="}],"sectionNum":"S08"},{"id":"c29654d3-2f1b-4147-8363-cabe5dc46a81","order":39,"text":"The matters set out in this declaration are known to and can be corroborated by [Full name of the corroborating witness], of [Address of the corroborating witness], who is the Declarant's [Relationship of the witness to the Declarant — e.g. friend, relative, neighbour].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"5ac5357d-1bf6-4db0-a4b5-d6d26f4c12d1","value":"yes","type":"add","operator":"="}]},{"id":"d94e7dc0-0383-49a7-adb4-f6362e83b630","order":40,"text":"That person has been aware of the separation since on or about [Date the witness became aware of the separation] and is able to give evidence of the following matters: [Summarise the matters the witness can confirm — e.g. that the parties told the witness they had separated, that they no longer socialise as a couple, and the changed living arrangements the witness has observed]. That person is willing and able to swear or affirm a separate affidavit in corroboration of this declaration if required, and to attend court if called upon to do so.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"5ac5357d-1bf6-4db0-a4b5-d6d26f4c12d1","value":"yes","type":"add","operator":"="}]},{"id":"84e05cbd-c936-469c-b959-a07c724595c0","order":41,"text":"9. ANNEXURES AND SUPPORTING DOCUMENTS","fontSize":"15","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"6","sectionNum":"S09"},{"id":"afc9a4d9-a914-4de9-9237-04034c0aa0f2","order":42,"text":"The following documents are annexed to or filed in support of this declaration: [List any supporting documents — e.g. a copy of the marriage certificate, evidence of separate bank accounts, change-of-address records, correspondence with Centrelink; or state 'none'].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"3614ccf9-58b7-4d4a-8458-b1958f7e877b","order":43,"text":"10. DECLARATION AND EXECUTION","fontSize":"15","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"6","sectionNum":"S10"},{"id":"e66e2a02-baf0-4367-8660-0c257823e95c","order":44,"text":"I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Statutory Declarations Act 1959 (Cth). I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of that Act, the punishment for which is imprisonment for a term of up to 4 years.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"305f770a-db91-4808-8ac6-07098ef560b9","order":45,"text":"Declared at [Place of signing — town/city and State] on [Date of signing].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"ed929721-5df6-453f-8fa5-089fe873f87f","order":46,"text":"Signature of Declarant: _____________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"0de671d1-9aa0-45ae-b5f4-8dee12c9a7f1","order":47,"text":"[Full name of the person making this declaration]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true,"displayConditions":[{"field":"9d66d437-7806-4854-bc3a-13ae73b1a75a","value":"p1","type":"add","operator":"="}]},{"id":"a405b544-ab16-482f-8817-3b6096ab1fec","order":48,"text":"[Full name of the person making this declaration]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true,"displayConditions":[{"field":"9d66d437-7806-4854-bc3a-13ae73b1a75a","value":"p2","type":"add","operator":"="}]},{"id":"d34b9d5e-96d4-4b6f-9cc2-0f51d351cec5","order":49,"text":"Before me:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"ba5210d5-291c-4a5a-801f-f7879506a563","order":50,"text":"Signature of authorised witness: _____________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"06dc9bd1-dbeb-4938-af91-9685f71941a8","order":51,"text":"Full name of authorised witness: [Full name of the authorised witness]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"37abbcfb-624c-4197-bfb9-053cc96d3183","order":52,"text":"Qualification of authorised witness: [Qualification of the witness under the Statutory Declarations Regulations 2018 — e.g. legal practitioner, justice of the peace, pharmacist, police officer, medical practitioner]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"c92a9625-25df-446d-bb9f-c57b52c3ebe3","order":53,"text":"Address of authorised witness: [Address of the authorised witness]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true}]