1971-HKRS30-16-30_Part05 — Page 1

26

SCHEDULE.

[r.2(3).]

FORMS.

NO.

表格第一款

Oath by Administrator.

IN THE SUPREME COURT OF HONG KONG

PROBATE JURISDICTION.

1, 4.B. (description} of

IN THE ESTATE OF

本人。(花甲)(身份]現居於香港

送事口

in the Colony of Hong

Kong, do hereby solemnly, sincerely and truly affirm and say make oath

and say as follows-

==

1. The abovenamed and described deceased died at

M

27

Since the death of the deceased, I have made a diligent search

善逝世輓

本人首蛮力撰其变件

among his papers and effects for any will made by him, but I have been 但無法黠

unable to find such will

3. The estate of the said deccased and the value thereof at the date 棍法律規定

1

of his death which by law devalves to and vests in the personal representa-

Lives of the said deceased, are as set out in the Estate Duty Commissioner's

麻現所藏定者

聯

Schedule of Property filed herein so far as at present can be ascertained.

曬

The gross value of the estate amounts to $

口

4. To the best of my knowledge, information and belief, there is

現時所能定者 no other property real or personal under any title whatsoever, which by

law devolves to and vests in the personal representatives of the said 癎外其他可根據任何權利而享有之 deceased, in respect of which estate duty is payable to the Hong Kong

Government upon the death of the said deceased, beyond that to which

瞥

reference has already been made in the said Schedule of Property filed 滤死者逝世惋

香港政府機邋

herein so far as at present can be ascertained.

on the

day of

逝世,日期為一九

牟

19.

月

intestate, leaving him

5. 1 will well and truly administer and faithfully dispose of, all such 五本人愈盛忠馘链管壓瓦思實分配由上涎婚 property and estate, rights and credits as the abovenamed deceased at the

surviving the following persons as being his only next of kin- 邐下储存者有下開吝人士蒇其憾有之近親

The deceased was domiciled in 死

居

(Their Hommes, relations and ager.)

(該等人士之姓名,其與死者之關係及其年齡

timg of his death was entitled to within the Colony of Hong Kong, and †

逍

權利驳 will pay whatever debts the deceased did owe, so far as such property and

estate, rights and credits, shall extend, and I will exhibit a true and perfect

inventory of all and singular the said estate and effects and render a just 物列 真實完佛之情單並提出公正帶鳖之 and true account thereof whenever required by law so to do. 報告口

6. Minority and for life interest arises under the intestacy.

六、在此無遺媽死亡之事件內,能承人中有尚未成年及,或不有修身權螽者。