1967-HKRS30-8-57_Part04 — Page 50

14

Schedules to be annexed here.

STATEMENT 1.

Property passing on the death for which the person(s) making the affidavit/affirmation" is accountable.

Particules of Title.

e. Date, material pacifculära di and names of parties to any deed:

nomen el centenar de kay will sad date:

of grund af probalt, rdudit ata addate=| Particolare of the Property

(ex) på present trapleet) 15 makes esque

and addrem of felne benefciaries, Ir

nor of the persona orlyfoally earlled ànè derd vide date of death add date/ of coat of representation,

(a) Value of meperty for which the presem deponemets).

kad kre* Accumulate.

15

RECEIPT FOR DUTY AND INTEREST.

Received this

day of

19....

Value on the desc

Ar dem

the sum of $.............

for estate duty and interest thereon.

(Signature)

Signature(s) of person(s) making the affidavit/affirmation.*

• Surfine out the alterantire which does pot apply.

Deputy Commissioner of Estate Duly.

I.

EXAMPLES OF PROPERTY FOR WHICH THE EXECUTOR

IS NOT OR MAY NOT BE ACCOUNTABLE.

Gifts made within 3 years of death.

2. Gifts made at any time subject to a reservation in favour of deceased.

3.

Joint property passing by survivorship.

4.

Policies of insurance on his life kept up for another's benefi

STATEMENT 1.

Other property of the deceased known to exist but for which the person making the affidavit/affirmation" is not accountable,

NOTE

If the executor has delivered or is about to deliver an affidavit for the Commissioner It is sufficient to say so here.

Particuları

Value

3. Annuilies provided by deceased to the extent to which a benefit arises

to another on deceased's death.

6. The benefit arising to another out of the cesser of deceased's interest

in property.

Value of the prňperty for pulch prevent depanent bi dot octavernable.

Signature(s) of person(s) making the affidavit /affirmation."

Name of Solicitor (if any)

If communications are to be sent to the Solicitor the deponent(s) musi sign here.

* Strike on the ahemnative which does not suply.

COUNCIL CHAMBER,

10th October 1967.

(Secretariat CR 10/2524/450)

Clerk of Councils.