8
STATEMENT *X*
(1) Persons entitled in distribution under the intestacy or partial
intestacy.
MA
AK
Rehabzade to the dockaved
(ii) Personal representatives of such of the above as have died since the death of the deceased.
Name of peɔwdk
ne preventative
Addreu
Naune of Hoe deceased Dope of death pr
person represented ach deceased person
(ii) Beneficiaries under the will who survived deceased and have since died or who predeceased him/her but did not thereby lose their benefits.
Nude
Ap
Dane mi Name of perconul
darth
CLİPE
Addrew of penal REVERENLEDİYE
STATEMENT “Y”
Part 1.
Name (including "tong" or family names) in which the deceased personally held property in the Colony.
How did he come by the muse Ge.. was de ælven 10 tulen, #dogrand by him, or did he wagreed to be?)
For what purpose LE the Dude ed
Part 2.
Name (including "tong" or family names) other than those falling under Part 1. by virtue of which the deceased had an interest in properly in the Colony.
Name
Name of the person e be pose the name: relaitonabtp o The cetsart
Falepler of the
HOD:
Etten ad deceased's intencu
NOTE -The deponent is required to sign the following certificate. I certify that, save as appears from the above Statement, the deceased to the best of my knowledge and belief held no property in this Colony under any family or "toog" name; nor had the deceased any interest in any property in this Colony held under any family or "tong" name or under any name whatsoever.
Signature of deponent
SAREENAAR DARI |