AF00166587 Deceased estate Robert Kendall NRS-13660-14-1677-Series 4_193278 - Flipbook - Page 5
SW,
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Inventory referrett to in
FULL particulars of the debts actually due and owing by the deceased at the date of deat
be deducted from the value of the assets under section 107 of the Stamp Duties Act, 192
with duty under the Stamp Duties Act, 1920-1931.
1,Talue.
Name of Creditor.
*Date.
S.
:;„
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ae.prieeding affidavit.
WtJ'LL particulars and value of the estate and effects at the date of the death of the deceased chargeable
Assets.
,••
Domicile of Creditor.
For what contracted.
Secured.
d.
Unsecured.
I.
S.
d.
REAL ESTATE.
Real estate possessed by the deceased at the time of his death, and Real Estate liable to duty
under section
section 102 of the Stamp Duties Act, 1920-1931, as per Schedule No
/1 66o
1933
0
PERSONAL ESTATE.
Voluntary disposition. Vide section 102 of the Stamp Duties Act, 1920-1931, as per Schedule
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Speciality debts. Vide section 103 (1) (a) of the Stamp Duties Act, 1920-1931, as per Schedule
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No._ ..... ___ ..
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Shares in public companies as per Schedule No-________
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Dividends declared but unpaid, as per Schedule No___. • •
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Landed property held under lease, as per Schedule No.
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Live stock, as per Schedule No.__
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Crops, as per Schedule No. • •
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Farming implements, as per Schedule No
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Carriages, as per Schedule No...._:-......
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Harness and Saddlery, as per Schedule No..
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Furniture, as per Schedule No.....!___
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Watches, trinkets, jewellery, &c., as per Schedule No •
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No
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Rents accrued but unpaid, as per Schedule
Money in hand or house
Bata 5 - 8 :21
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Money on current account—Bank of....Gommer_eial Bar-kv• •g448 : I 31 5.•
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66
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Money in banks or financial institutions on deposit }
as per Schedule No
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Interest accrued on same
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Debentures
as per Schedule No.
Interest accrued on same
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Mortgages
as per Schedule No.
Interest accrued on same
Life Policies (including Settlement Policies) ..
} as per Schedule No.
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Bonuses
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Policies for payment of Death Duty, as per Schedule No.
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Plant, &c., as per Schedule No.__
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2
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Tools, as per Schedule No
Debts due to Estate, as per Schedule No....2
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No...
Schedule
per
as
business,
or
shop
in
Stock ( as per stock sheets)
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To be signed here by executors
or administrators making
the affidavit.
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Petrol
Milk
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aira•r•ONNO.
any cases tvhere 110 asset exists correspondivg 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
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4
Print i
1$
6
8
"Le at
Groceries
.......•••••••••••• .....
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Total debts that may be deducted under the Act, 1920-1931, section 107
Final balance upon which duty is payable ..
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Au r, DO Thomas Holden
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IC .A .G. Carson
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Aup 10 G . C'ianlaem
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Dutiable Estate
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edical expe s e s
Hosoital fee
Idaterials
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11- 11 'a
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Goodwill
Goodwill ..
Interest in a partnership, as per Schedule No.
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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
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No
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Funeral donations or other payments from any Lodge or Society, as per Schedule No.... (2..........
Other personal property not coming under any of,z. the above headings, as per Schedule No.........
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Government Stock, as per Schedule
Nil
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Aux._ I.
LC) Dr. B. Stephens
1.01g DC) li ccg: 'La, _Ho sio it al.
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Aug
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TOTAL DEBTS . .
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*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.
