AF00169548 Deceased estate Mary Ellen Cazalar NRS-13340-1-[20-5118]-B 53874 - Flipbook - Page 2
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Form of affidavit to be lody ed with application for administration.
NEW SOUTH WALES
In the estate of
TO WIT.
MARY ELLEN CAZALAR
*Testate
Iadow
Strike out whichev
Is unnecessary.
the State aforesaid.,
............
late
the. 4...i4/ei
deceased 4.14e4
iffif‘k
of
fifty-two JULIA ATEEME_SiAzajaa
South Wales
of Tweed Heads in the State of
.
one thousand nine hundred alp d
If more than one applicant, the form to be
filled up accordingly.
tState whether marrltd,
bachelor, spinster,
widower, widow,
divorcee, or minor
* State whether
domiciled in or out of
New South Wales.
Words In full.
eing duly sworn, maketh oath, and saith as follows
I am/are-trre the party/pcb.Et4e,s—making application for the purpose of obtaining
administration of the estate of the abovenamed deceased and the party/paslias.liable for
the payment of the duty, if any, on the estate herein included.
jarluarz.
day of
The abovenamed deceased who died on the. 14th
5.2, aged
was domiciled *
92..
dow
years, was at the time of death t
and
in IT4e‘*
The annexed inventory contains a true statement of all and singular the real and
of or to which the abovenamed deceased was possessed or entitled and all
estate
personal
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 N ne thousand.
two 41,1pArpd and thirty seven P2-111144_fAye_gAllalngg and
sixpence.
In the event of any additional assets being discovered, I/wso will advise the Commissioner of Stamp Duties, and will pay any further duty found to be payable.
Strike out clause if not
applica ble.
Regulation form to be
used.
*Widow and/
Strike out, c
applicable/
Regulation farm to be
used. *Widow and/or
children.
Regulation form to be
used.
Strike out clause if not
applicable.
Strike out clause if not
applicable.
er
amount of the dutiable estate when aggregated with the value of the foreign assets
deducting all debts due and owing other than debts referred to in sub-section 2 • section
107 being under the sum of five thousand pounds I/we claim an assessme of the duty
payable at concession rates set forth in Section 112 B (2) of the Stam i uties Act, 19201940 on the properties set out in the annexed schedule marked " i after deducting the
proportion of the debts chargeable thereon as the said pro sties pass to the lawful
e deceased.
The deceased having been domiciled in a e State of New South Wales and the
with the value of the foreign assets after
ount of the dutiable estate when aggrega
deducting all debts due and owing other a an debts referred to in sub-section 2 of section
107 being under the sum of One tho nd pounds I/we claim exemption from duty on the
properties set out in the annexe chedule marked " B " after deducting the proportion of
the debts chargeable ther • as the said properties pass to the lawful*_. ....„.••...••••..
of the deceased.
The a nexed Schedule marked " C " contains a true statement of all and singular
a personal estate and the values thereof of or to which the abovenamed deceased
a
real
the
was ,)sensed or entitled outside the State of New South Wales at the time of death other
9
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.
Strike out clausei
not applicable.
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.
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
MURWILLUMBAH
befo e
•••••••
omirrit444(oti@r-i. -ktt*-.Arff+4owi4S
Justice of the Peace.
St 2501
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