1970 Ed.]

Forms under section 28.

[CAP. 111

B3

[Subsidiary]

(5) Strike out to meet the facts,

When corrections do not affect values strike out this paragraph.

6. Save as appears in and by this affidavit and the (3) which has been already delivered no property chargeable with Estate Duty passed or is deemed to have passed, so far as I know or believe, on the death of the deceased.

7. It now appears that in the circumstances stated overleaf (5) too little or too much estate duty has been paid, all of which is submitted to the Commissioner of Estate Duty in order that (5) the deficient duty, with interest thereon may be accepted (or) that the overpaid duty may be returned whose receipt shall be a sufficient discharge to me.

All of which is true to the best of my knowledge and belief,

(6) Insert (6) appropriate form of jurat.

Sworn/affirmed at this day of Hong Kong 19 , the same having been duly interpreted to the deponent or affirmant in dialect of the language by

Sworn Interpreter

Before me,

A Commissioner, etc.

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