AF00101279 Deceased estate Francis Scaling Lowes NRS-13340-1-[20-2886]-A 34360 - Flipbook - Page 3
1.4. S.
'DEPARTMENT
Inventory referred to in
FULL particulars and value of the estate and effects at the date of the death of the deceased chargeable
with duty under the Stamp Duties Act, 1920-1940.
Value.
Assets.
4: 1942G -;
the receding affidavit.
FULTAparticulars of the debts actually due and owing by the deceased at the dategft d1/41, which may
0-1940.
be deducted from the value of the assets under section 107 of the Stamp Dutik
Name of Creditor.
*Date.
Domicile of Creditor.
For what contracted.
Secured.
Unsecured.
••••••••••••••••••••.s.
s.
d.
d,
REAL ESTATE.
Real estate possessed by the deceased at the time of his death, and Real Estate liable to duty
under section 102 of the Stamp Duties Act, 1920-1940, as per Schedule No.
PERSONAL ESTATE.
Voluntary disposition. Vide section 102 of the Stamp Duties Act, 1920-1940, as per Schedule
..
..
..
..
No
••
••
••
•
••••NP••••••
Specialty debts. Vide section 103 (1) (a) of the Stamp Duties Act, 1920-1940, as per Schedule
..
••
No.
••
••
••
••
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•
••
N.
• •
NN..
Shares in companies as per Schedule No.
•
•
• •
• •
• •
••••
Dividends declared but unpaid, as per Schedule No.
• •
Landed property held under lease, as per Schedule No.
Live stock, as per Schedule No.
••
Crops, as per Schedule No
••
••
••
••
••
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..
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.
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.
.
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..
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Rents accrued but unpaid, as per Schedule No
••
Money on current account—Bank of
b• •• ......
••
Watches, trinkets, jewellery, &c., as per Schedule No
••
• •
••
Harness and Saddlery, as per Schedule No
Money in hand or house ..
• •
••
Motor Cars, Vehicles, etc., as per Schedule No.
Furniture, as per Schedule No.
• •
..
Farming implements, as per Schedule No
••
••
..
•
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6666..
H.
•
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.
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•
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• • ..0
Money in banks or financial institutions on deposit }
as per Schedule No.
••
.•
Interest accrued on same
••
Government Stock, as per Schedule No.
•.
••
Debentures ..
Interest accrued on same
••
Mortgages • •
••
Interest accrued on same
••
..
••
..
••
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••
••
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••
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1 as per Schedule No.
..
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as per Schedule No.
.
.... • •
Tools, as per Schedule No
••
••
Debts due to Estate, as per Schedule No.
••
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• . • ••• •••••• • • • ••• • • •••• • •
. • • • ......
•
{
............
•
••
•
Life Policies (including Settlement Policies). 1
f as per Schedule No.
••
••
••
••
••
Bonuses
..
Policies for payment of Death Duty, as per Schedule No.
••
••
..
Plant, &c., as per Schedule No
••
HP • • •• .....
40.•••
• • •••• • • • •••• • •
IF
• • •••
0.
• • .
•••
60114164
0 • ••
Stock ( as per stock sheets) in shop or business, as per Schedule No.
.
Goodwill
Interest in a partnership, as per Schedule No.
•
• •
• •
• •
• •
• •
••
• •
••
• •
••
.
••
Interest in a deceased person's estate, as per Schedule No.
Gifts of any kind whatever, made within three years preceding date of death, as per Schedule
.•
••
••
••
••
••
No
• •
••
• •
•
•
• •
•
• •
••
••
Funeral donations or other payments from any Lodge or Society, as per Schedule No
Other personal property not coming under any of the above headings, as per Schedule No
Dutiable estate
•
• •
• •
• •
• •
• •
• •
• •
0 •
••
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• •
• •
• •
.•
•
Total debts that may be deducted (Section 107)
Final balance upon which duty is payable •
To be signed here by executors
or administrators making
the affidavit.
•
••
• •
• •
(Date)
any cases where no asset exists corresponding to the above headings, the word " Nil" must be
written against each of them. Property coming under each of the above headings must be particularised in
Schedules. If there are any assets not coming properly under any of the above headings, such assets must be
included in the statement under a special heading describing the same.
NOTE.--In
TOTAL DEBTS .
I
at* ......
•C 4,0 • •
••••••••
••••••••
-
••••••••
•••••••I
* Insert date when debt contracted or date of last item in a running account. No debts to be inserted which were not contracted
before date of death.
