1964_ESTATE_DUTY_(FORMS)_NOTICE — Page 2

CAP. 111]

Estate Duty (Forms) Notice.

[1970 Ed.

A 2

[Subsidiary]

(5) Executor, (5)

(Page 2)

I am*

2.

We

applying for the grant in capacity of

are

my*

our

attorney

for executor,

the person

3.

The Statement "X" hereto annexed is a true and com- plete statement of (i) the names, ages and relationship to the tion, guardian deceased of all persons surviving the deceased who, under the

entitled to administra-

etc.

3190 $10

31/90510

31/90510

intestacy or partial intestacy, are entitled in distribution to the estate, (ii) the names and addresses of the personal representatives of all such as have since died and the dates of such deaths, (iii) the names, ages, dates of death and the names and addresses of their personal representatives of all persons being beneficiaries under the will of the deceased who either survived the deceased and have since died or predeceased the deceased in such circum- stances that their benefits under the will did not lapse on their deaths.

4. The Statement "Y" hereto annexed is a true and com- plete statement; as regards Part I thereof, of all the names including "tong" or family, names in which the deceased personally owned property in this Colony and of the circumstances in which he/she* came by and the purposes for which he/she* used those names, and as regards Part II thereof, of all the names including "tong” or family names (other than those falling under Part I) by virtue of which he/she was entitled on the date of death to any share or interest, (whether in possession or expectancy) in any property in Colon and of the name and relationship, if any, to the de- Celery? ceased of the person entitled (whether as owner, trustee, manager or otherwise) to use such name, and of the property held in such name and the extent of the deceased's interest therein.

To the best of my/our knowledge and belief the deceased held no other property in the Colony nor had any interest in any property in the Colony under any other "tong" or family name or under any other name whatsoever.

5.

Each of the annexed Accounts shows true particulars and values of all the property described in the headings to that Account and the Accounts include, so far as I/we* after diligent search have been able to ascertain, all property of the deceased passing or deemed to pass on the death of the deceased and all the property held by the deceased as trustee only and not bene- ficially.

6.

The Part I of the Schedule 1 to Account 1, and Schedule 2 to Account 2, contain true and particular lists of the debts due and owing from the deceased at the time of his death contracted in the Colony to persons resident therein or charged on property

31/90510 ons gether with the names and addresses

of the several persons to whom they are respectively due and the descriptions and amounts of such debts.

The Part II of the Schedule 1 to Account 1 contains a true account of the funeral expenses of the deceased.

7. Each of the Schedules of deductions to the Accounts contains true and correct particulars of the debts, incumbrances and liabilities described in that Schedule. I/We know of no facts which prevent such debts, incumbrances and liabilities from being allowable by law in determining the value upon which estate duty is payable.

8. I/We have made the fullest possible inquiries but have not been able to ascertain the precise amount or value of the property referred to in Exhibit

to Account

* Delete whichever is inapplicable.