638932-1896-Rules-under-Suitors-Funds-Ordinance- — Page 6

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THE HONGKONG GOVERNMENT GAZETTE, 25тH APRIL, 1896.

[The formal part as in Form No. 1.]

FORM No. 5.

Direction referred to in Rule 8.

The body of the Direction will be as follows:-

The Treasurer is hereby directed to pay to [here insert the name of person to be puid] the sum of dollars [in words at length]

lodged in Court in the above cause or matter.

FORM NO. 6.

Certificate of ascertained Sums referred to in Rule 10.

In the Supreme Court of Hongkong.

[Title of cause or matter. 18

64

Ledger account [if the same as the cause state as above."]

I hereby certify that under Order dated amounting in the whole to S

3

No. ]

18 the sums stated in the schedule subjoined hereto have been ascertained to be the sums payable under the said Order to the persons

respectively named in respect of [state in what character paid].

Dated this

of

18

(Signature.)

Registrar.

SCHEDULE.

Name.

Address (if ascertained).

Amount to be paid.

FORM No. 7.

Formal part as in last form.

In pursuance of an Order dated

Certificate of Taxed Costs referred to in Rule 11.

18

I have been attended by the solicitors for

and I certify that I have taxed the costs specified in the schedule subjoined hereto directed to be taxed by the said Order at the suns respectively stated in the schedule, which sums with the fees of taxation specified amount to the total sum of

Dated the

of

18

(Signature.)

Registrar.

SCHEDULE.

Payable to

Amount of Taxed Costs

Costs of

and Fees.

Name.

Address.

Total $

[Formal part as before.]

Form No. 8.

Declaration referred to in Rule 12 (ii).

I [name and address of applicant] solemnly and sincerely declare that I am the [degree of relationship] and next or one of the next of kin of [name of deceased] and that I am entitled to take out administration to his estate and to receive the sum of $

directed to be paid to him by the Order dated the

18

And I further declare that the total value of the assets of the deceased including the above sum does not exceed $500, and I certify that the death-bed and funeral expenses of the deceased have been paid. And I make this solemu declaration conscientiously believing the same to be true and by virtue of the provisions of "The Statutory Declarations Act 1835.”

(Signature of Applicant.)

Declared at

Before me this

of

18

Justice, Notary Public, or other authorized officer.