under the intestacy or partial intestacy, are entitled in dis- tribution to the estate, (ii) the names and addresses of the personal representatives of all such as have since died and the dates of such deaths, (iii) the names, ages, dates of deaths and the names and addresses of their personal representatives of all persons being beneficiaries under the will of the deceased who either survived the deceased and have since died or predeceased the deceased in such circumstances that their benefits under the will did not lapse on their deaths.

4. The Statement "Y" hereto annexed is a true and compleie statement as regards part 1, of all the names includ ing 'tong' or family names in which the deceased personally owned property in this Colony and of the circumstances in which he/she came by and the purposes for which he/she" used thowo names, and as regards part 2, of all the names including 'tong' or family names (other than those falling under part 1) by virtue of which he/she* was entitled on the date of death to any share or interest (whether in possession or in expectancy) in any property in the Colony; and of the name and relationship, if any, to the deceased of the person entitled (whether as owner, troskee, manager or otherwise) ta uso such name, and of the property held in such name and the extent of the deceased's interest therein.

5. The Account 1 hereto annoxed, is a true and com» plele account of the particulars and value as at the date of the deceased's death, so far as I/we* efter diligent search have been able to ascertain, of all the property of the deceased whether in possession, or reversion, within the Colony, (includ- ing property over which the deceased had and exercised by will an absolute power of appointment), which by law devolves on the personal representative of the deceased exclusive of property held by the deceased as Irisico only and not beneficially. The gross value thereof as at the date of the deceased's death was altogether $....................................

6. The first part of Schedule I hereto soneted containi a true and particular list of the debts due and owing from the deceased at the time of death to persons resident in the Colony or to persons resident out of the Colony but contracted to be paid in the Colony or charged on property situate within the Colony, together with the names and addresses of the several persons to whom they are respectively duc and the description: and amounts of such debts.

The second part of Schedule 1 contains a trus account of the funeral expenses of the deccasod.

7. The said debla are payable by law out of property comprised in Account 1. They were incurred by the deceased band fide for full consideration in money or money's worth wholly for the deceased's own use and beneût. They are not debts in respect of which there is a right to reimbursement

(6) If there from any other property or persons ",

is que eight

which cann

be obtained

adapt to the

2) If other

property known to exis

but the amouÀ.

Jod value que not, yeht #chickly kanestar, schedule of the knowa Arun should be ammered and ARM

CO, and

* paragraph es For the fac unkerled here.

It miss on-

kaste wader- alebo pr Honed in Sec. 93; and a KUTAKAT That

fullert 40- llire have

been runde.

(8) Some ARAMAIAH OF other "pradio od

B. The aggregate amount of such debts and expenses in the said Schedule is $..

which being deducted

from the value of the property specified in Account 1 reduces such value to $................

9.

To the best of my/our knowledge and belief there

is no other property passing on the death of the deceased and

manerty be liable to estate duty under any tüle whatsoever.

10 GRUNDE KUY win be found

"esouples of other lack

propesy

pa care 11.

* Tarch prope.ca.ca

form af forat,

Akrawed

10. The Account 2 is a true and complete account of the particulars and value as at the date of the deceased's death of all the property held by the deceased as trusted only and not beneficially.

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

at the Estate

Duty Office, Hong Kong. day

chie

of

19

·

the same having

been duly interpreted to the deponent/affirmant

............ dialect of the Chinese Language by

Before me

Sworn Interproter.

A Commissioner, etc.

*3450]

* Delcut witichever is towpplicable.

* Eeless whichever be tadpollebbe

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