1970 Ed.}

Estate Duty (Forms) Notice.

[CAP. 111

A 3

[Subsidiary]

!

So far as the amount and value can now be estimated, they are stated in Account . I/We undertake, as soon as the amount and value are fully ascertained, to bring in a full account thereof, and to pay both the additional duty for which I/we may be liable, and any further duty, payable by reason thereof, for which I/we* may be liable on other property mentioned in this Affidavit.

9. Save as disclosed in the replies set forth to the questions on Pages 4, 5 and 6 hereof, the deceased did not, within three years of his death, make any gifts of money or other property to any person whomsoever nor any disposition whatsoever in favour of a relative.

10. Save as disclosed in the replies set forth to the questions on Pages 4, 5 and 6 hereof, the deceased did not, at any time, make any gifts of money or other property to any person whomsoever accompanied by a reservation of interest or benefit to himself, nor any disposition whatsoever in favour of a relative accompanied by such a reservation.

11. Save as disclosed in the replies set forth to the questions on Pages 4, 5 and 6 hereof and Accounts 1, 2 and 3, there is no property in Hong Kong (under any title whatsoever) in respect of which estate duty is chargeable on the death of the deceased.

12. The replies set forth to the questions numbered 1 to 10 on Pages 4, 5 and 6 hereof are true and correct.

ALL OF WHICH IS TRUE TO THE BEST OF MY/OUR* KNOWLEDGE AND BELIEF.

(Page 3)

by the above named

AFFIRMED*

SWORN

at

this

day of

Hong Kong,

19

the same having been duly interpreted to the affirmant/deponent* in

dialect of the Chinese language

by

SWORN INTERPRETER

Before me,

A Commissioner, etc.

AFFIRMED* by the above named

SWORN

at

day of

Hong Kong, 19

the same having been duly interpreted to the affirmant/deponent* in

dialect of the Chinese language

by

SWORN INTERPRETER

Before me,

A Commissioner, etc.

AFFIRMED*

by the above named

SWORN

at

Hong Kong,

this

day of

19

the same having been duly interpreted to the affirmant/deponent* in

dialect of the Chinese language

by

SWORN INTERPRETER

Before me,

A Commissioner, etc.)

* Delete whichever is inapplicable.

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