1970 Ed.]
Estate Duty (Forms) Notice.
[CAP. 111
A 13
STATEMENT “X”.
[Subsidiary] (Page 16)
Persons entitled in distribution under the intestacy or partial intestacy.
Name
Age
Relationship to the deceased
(ii) Personal representatives of such of the above as have died since the death of the deceased.
Name of personal representative
Name of the deceased
Address
person represented
Date of death of such deceased person
(iii) Beneficiaries under the will who survived deceased and have since died or who predeceased him/her but did not thereby lose their benefits.
Name
Age
Date of
death
Name of personal representative
Address of personal
representative