1964_PRESCRIPTION_OF_FORMS_UNDER_SECTION_28

B 4

[Subsidiary]

CAP. 111]

Forms under section 28.

[1970 Ed.

Schedule to be annexed here.

STATEMENT OF CORRECTIONS.

Particulars of the correction to be made

VALUE

Serial
No. by reference to the
original affidavit
of account As in original
affidavit $ As now
corrected
$ Increase
$ Decrease
$ S S

Signature of person making the affidavit.

STATEMENT OF THE CIRCUMSTANCES NECESSITATING THE SEVERAL CORRECTIONS.

Reference Number to the Statement overleaf

Where any claim to refund is made full particulars relied on and any particulars which the Commissioner may be likely to need to enable him to decide on the claim should be set out.

Where any additions to the original affidavit are made the same particulars as required in the original should be given.

Signature of person making the affidavit.

Name of Solicitor (if any)

If communications are to be sent to the Solicitor, the executor should sign here.