[The formal part as lu Form No. 1.]
Fons No. 5.
Direction referred to in Rule 8.
The body of the Direction will be as followe
The Treasurer is hereby directed to pay to [here insert the some of person to be paid] the sun of dollars (in words at length]
lodged in Court in the above enuse or mutter.
Forx No. 6.
Certificate of ascertained Sums referred to in Rule 10.
In the Supreme Court of Hongkong.
[Title of canes or matter.
Ledger account [if the same as the cause state "as above.”]
I hereby certify that under Order dated amounting in the whole to $
18
, No.
]
18
the sums stated in the schedule aubjoined hereto have been ascertained to be the sums payable under the said Order to the persons respectively uumed in respect of [state in what character paid).
Dated this
of
19
(Signature.)
Registrar.
SCHEDULE.
Namo.
Address (if ascertained).
Amount to be paid.
Forx No. 7.
Formal part as in last form.
In pursuance of an Order dated
Certificute of Taxed Costs referred to in Rule 11.
18 I have been attended by the splicitors for
• and I certify that I have rexed the costs specified in the schedule subjoined boreto directed to be taxed by the said Order at the sums respectively stated in the schedule, which suma with the fees of taxation specified amount to the total sum of
Dated the
of
18
(Signature.)
Registrar.
SCUEDDLE.
Payable to
Amount of Taxal Costs
Costs of
and Fees,
Name.
Address.
FORM No. 8.
Total $
[Formal part as before.]
Declaration referred to in Ituše 14 (11).
1 [name and address of opplicant] solemnly and sincerely declare that I am the [degree of relationship) and next or one of the next of kin of [name of deceased] and that I am entitled to take out administration to his estate and to receive the sum of $
directed to be paid to him by the Order dated the
18
·
And I further declare that the total value of the assets of the deceased including the abore sam does not exceed $500, and I certify that the death-bef and funeral expenses of the deceased have been paid. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of "The Statutory Declarations Act 1835,"
(Signature of Applicnut.)
Declared at
Before me this
of
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Justice, Notary Public, or other authorized offiver.