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This is a sample of a witness statement. It is not legal advice.
For help preparing a witness statement, see
Instructions for preparing witness statements.
If you need more help, get legal advice.
I, Gary Smith, of 47 Wensleydale Avenue, Greenacre, aged 41, unemployed, state:
This statement made by me accurately sets out the evidence that I would be prepared, if necessary, to give in court as a witness. The statement is true to the best of my knowledge and belief and I make it knowing that, if it is tendered in evidence, I will be liable to prosecution if I have wilfully stated in it anything that I know to be false or do not believe to be true.
G. Smith Witnessed:
B. KolikDated: 17 December 2010 Dated: 17 December 2010