1969-HKRS30-16-29_Part05 — Page 2

Authenticated Laws 確真本香港法例 All

(Page 3)

Affirmed

Swor

at

18

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

Hong Kong, this

of

19

*

day

the same

baving been duly interpreted to the

deponent/affirmant in

dialect of the Chinese language by

(Non)

PSLJAKAUPĖ)

Autosed

at

Sworn

Sword Interpreter.

Hong Kong, this

of

A

the same

having been duly interpreted to the deponent/affirmant in

dialect of the Chinese language by

(9) mart

................. Sworn Interpreter.

(SUPAT LIFE)

Afrraed Suom

at

Hong Kong, this

day

of

19 the same

having been duly interpreted to the deponical/affirmant in

dialect of the Chinese language by

(Name)

dature)

Sworn Interpreter,

Before me.

A Commissioner, etc.

Before me,

A Commissioner, etc.

||

Before me,

A Commissioner, etc.

19

Schedules to be

annosed here,

STATEMENT 1.

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

5.1.

Particular of Tule.

Date, material paniculars of and MATUSH of partie LO May deed;

al tesuntor of any wi

1.od due of want of probates name mund address(es) of prestiul produced) J By: nome and address of thebrar beneficiaries, lf mor of the person originaÜye enalted ure deed sunce date of death and dale KË ME DË represexuaLİŞME.

Particulus of the Property

Vous an the dane

of death

Lal Value of property for which the present deponent() {n}are* accountable.

STATEMENT 2.

Other property of the deceased known to exist but for which the person(s) making the affidavit/affirmation" is/are* 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.

Panicular

Valke

Valor of the property for watch present deponent is not recoverable.

Name of Solicitor (if any)

II communications are to be sent to the Solicitor the deponent(s) must sign here.

KORTELEFOONPOOKY PROÇAKIRJOIT

* Sulke own the alternative which dom not apply.

(Page 3)

[Pearl)

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