B 4
[Subsidiary]
CAP. 111]
Forms under section 28.
[1970 Ed.
Schedule to be annexed here.
STATEMENT OF CORRECTIONS.
Particulars of the correction to be made
VALUE
SerialSignature of person making the affidavit.
STATEMENT OF THE CIRCUMSTANCES NECESSITATING THE SEVERAL CORRECTIONS.
Reference Number to the Statement overleaf
Where any claim to refund is made full particulars relied on and any particulars which the Commissioner may be likely to need to enable him to decide on the claim should be set out.
Where any additions to the original affidavit are made the same particulars as required in the original should be given.
Signature of person making the affidavit.
Name of Solicitor (if any)
If communications are to be sent to the Solicitor, the executor should sign here.
B 4
[Subsidiary]
CAP. 111]
Forms under section 28.
[1970 Ed.
Schedule to be annexed here.
STATEMENT OF CORRECTIONS.
Particulars of the correction to be made
VALUE
Serial
by reference to the
As in original
As now
Increase
Decrease
No.
original affidavit
of account
affidavit $
corrected
$
S
S
Signature of person making the affidavit.
STATEMENT OF THE CIRCUMSTANCES NECESSITATING THE SEVERAL CORRECTIONS.
Reference Number to the Statement overleaf
Where any claim to refund is made full particulars relied on and any particulars which the Commissioner may be likely to need to enable him to decide on the claim should be set out.
Where any additions to the original affidavit are made the same particulars as required in the original should be given.
Signature of person making the affidavit.
Name of Solicitor (if any)
If communications are to be sent to the Solicitor, the executor should sign here.
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