AF00101279 Deceased estate Francis Scaling Lowes NRS-13340-1-[20-2886]-A 34360 - Flipbook - Page 2
Form of affidavit to be lodged with application for administration,
NEW SOUTH WALES,
In the estate of
TO WIT.
late of
in the State aforesaid,
* Strike out whichever
is unnecessary.
*Testate
deceased
, Intestate
ON the
y
day of
one thousand nine hundred and
If more than one applicant, the form to be
filled up accordingly.
being duly sworn, maketh oath, and saith as follows:—
I am/we are the party/parties making application for the purpose of obtaining
administration of the estate of the abovenamed deceased and the party/parties liable for
the payment of the duty, if any, on the estate herein included.
tSt9.,te whether married,
bachelor, spinster,
widower, widow,
divorcee, or minor.
* State whether
domiciled in or out of
New South Wales.
The abovenamed deceased who died on the
19
, aged
day of
years, was at the time of death f
and
was domiciled *
The annexed inventory contains a true statement of all and singular the real and
personal estate of or to which the abovenamed deceased was possessed or entitled and all
property liable to duty under the Stamp Duties Act, 1920-1940, and of the values thereof,
and includes the whole of the accruing income in the estate up to the date of death. The
debts therein stated were actually due and owing at the date of the death of the deceased,
and are such as may be deducted under section 107 of the Stamp Duties Act, 1920-1940.
The final balance of the estate of the abovenamed deceased is
Words in full.
In the event of any additional assets being discovered I/we will advise the Commissioner of Stamp Duties, and will pay any further duty found to be payable.
Strike out clause if not
applicable.
Regulation form to be
used.
*Widow and/or children
Strike out clause if not
applicable.
Regulation form to be
used.
*Widow and/or
children.
Regulation form to be
used.
Strike out clause if not
applicable.
Strike out clause if not
applicable.
The deceased having been domiciled in the State of New South Wales and the
amount of the dutiable estate when aggregated with the value of the foreign assets after
deducting all debts due and owing other than debts referred to in sub-section 2 of section
107 being under the sum of five thousand pounds I/we claim an assessment of the duty
payable at concession rates set forth in Section 112 B (2) of the Stamp Duties Act 1920—
1940 on the properties set out in the annexed schedule marked " A " after deducting the
proportion of the debts chargeable thereon as the said properties pass to the lawful
of the deceased.
The deceased having been domiciled in the State of New South Wales and the
amount of the dutiable estate when aggregated with the value of the foreign assets after
deducting all debts due and owing other than debts referred to in sub-section 2 of section
107 being under the sum of One thousand pounds I/we claim exemption from duty on the
properties set out in the annexed schedule marked " B " after deducting the proportion of
the debts chargeable thereon as the said properties pass to the lawful*
of the deceased.
The annexed Schedule marked " C " contains a true statement of all and singular
the real and personal estate and the values thereof of or to which the abovenamed deceased
was possessed or entitled outside the State of N ew South Wales at the time of death other
than real and personal estate liable to duty under the Stamp Duties Act 1920-1940.
The deceased was not possessed of or entitled to any property in New South
Wales or elsewhere at the date of his death other than the property set out in the annexed
inventory.
The annexed Schedule marked " D " contains a true statement of the persons
entitled to the property included in the dutiable estate, their relationship, if any, to the
deceased, the description and value of such property and how same was derived.
Strike out clause if
not applicable.
11. The annexure hereto marked " E " is a certified copy of the will of the deceased.
Sworn by the deponent on the
day first abovementioned at
.................
before me,—
A Commissioner for Affidavits
(or) Justice of the Peace.
St 2501
111111.111INI
•
