Claim of Ownership of Fictitious Name


Lodgement Form

    (Names will be converted to upper/lower case where needed in the certificate.)

    I the undersigned, being an owner of the fictitious name, certify that the information indicated on this form is true and accurate. I further certify that this claim of ownership is to be recorded by the People’s Court of Terra Australis for preservation in the Book of Deeds.

    ​I understand that by submitting this claim online, I have agreed to the electronic autograph below and that this application shall have the same legal effect as if made under oath. I am also aware that by submitting false information on this application I would be guilty of committing perjury, for which I may be prosecuted. I accept full liability for this submission.



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    Jessica
    Dot
    Jessica
    Dot
    Jessica-Dot
    Anthony
    Lee
    Aleisha
    Maree
    Shelley
    Jane
    Terrence
    Robert
    nicola
    andrea
    Aubrey
    Preston
    Claudio
    Bandeira Sousa
    Elizabeth
    Stephen
    Wayne
    Anthony
    Karen
    McRobert
    Christopher
    Martin
    Autumn
    Jill
    Eileen
    Philomena
    Daniel
    Graham
    Daniel
    Graham
    Jörg
    Alfred
    John
    Alfred
    Nicholas
    Henry
    Nicholas
    Henry
    George
    N/A
    Sean

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