Helen Porter Armstrong - Dame Nellie Melba - NRS-13660-13-943-Series 4 175192 AF00174122 - Flipbook - Page 41
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D
No.
99
-mantncit
•
eTaoainucemmarrrrioctaa,
ayrr.,tr
Form of affidavit to he lodged with application for administration.
NEW SOUTH ALES,
1
TO WIT.
---(o.thertiee- Relen - -Porter
In the estate of
Ametrone) late
rike out whichever
unnecessary.
tState whether married.
bachelor, spinster,
widower, widow,
divorcee, or minor.
in the State
Lilydale
*Testate
of Victoria, Dame of the 14Atii
(
lutgaAte t
'
she
o
shed
stin
the
of
rder
Di
1htieh Limpir
duly
day of
N the
of ---
.
...311ftewswernwerT-
one thousand nine hundred and...thi ir•
If more than one applicant, the form to he
filled up accordingly.
y one
of Sydney in the Stat e. _of
L4ut„la 4211,.€, GT Gettilatir
Di rector be.
duly arzo_rn...triakas...oatlar--44- ----spayes----ae----fel;•1•oivs
I Earn the naging Direc tor of Perpetual Trustee CompifAy
(-Litint-tectl—grile,
attorney
the
kpoi-rig-41611.y.swer-n, aaamaraida. Blab.
43
n 'king ,qpplicaiov. for the purpose of obtaining
deR144.1 afida :11M gazty/parties liable for
administration of the estate of the a s*4na.
the payment of the duty, if any, on the estate herein included.
2. The abovenamed deceased died on the 2.3X, day of
Web az19-31,-,
a State lace of domicile
death.
at d
,71) .years, and was at the time of death *domiciled in
aged
A
inirgortnn t ,z nd belief
of ray kno7.71ect've
To the bentannexed
inventory contains a true s atemenf o p ana singular tue real and
3./The
personal estate of or to which the abovenamed deceased was possessed or entitled liable to
duty under the Stamp Duties Act, 1920-1931, and of tile 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, 1920-1931.
b ris
To t he
4./iThe na
full.
rnk t
ba ance
OA?aT161.11,1ARd wid belief
a
e es a e o
chle
5. In the event of any additional assets being discovere II-4"Na. will advise e Commissioner of Stamp Duties, 4}141--vi‘iiii.pay-az,faz,tlakku.41114.44,44.11,41.444.10.414144441.
Strike out clause if not
applicable.
to be
Regulation
used.
Now south Waloc and----the
1-- -i^"'"'1"4.9 ""
6.
ligaehwirtifit
the dutiable estate when aggregatedi with the value of the foreign assets a er
amount
deductin all debts due and owing ether than d' bts referred to in sub-section 2 of section
107 bein under the sum of three thousand poun I/we claim an assessment of the d ty
one half of the schedule rates set f rth in the Fourth Schedule to the Sta p
payable
Duties A t 1920-1931 on the proi'erties set out i the annexed schedule marked " A " a er
ta the
Widow and/or children
Strike out clause if not
applicable.
form to be
Regulation form to be
used.
Strike'
applicable.
ause if not
Strike ouVla4e if not
applicabl
7.'
amount of the dutiable estate when aggregate(
deducting all debts due and owing other than
107 being under the sum of One thousand 170U
propertit, set out in the annexed schedule ma,
the debtE chargeable thereon as the said prop
/,
Ci
schedule
death.
8.- • ;
,
tt
with the value of the foreign assets a er
ebts referred to in sub-section 2 of sect .n
ds I/we claim exemption from duty on
ced " B " after deducting the proportion, of
.ties pass to the persons set out in the said
P-1.4-entfti-rv:a---tpPoe-oto+ernetyt-of--a-tf--a-nd=-sirtgt cr
the real and personal estate and the values thereof of or to which the abovenamed decea ed
was possessed or entitled outside the Statp of New South Wales at the time of death o4 er
tharrremi-fattivereenal. estate lithe teizitttirAnuligrAhoy-44oftw-Dixt-i-es
9. The &coased___Aivaa_niet passoiiiii41-4.-ria-entitlecl-ta---an-yriatop
II
0 II t.•
Wales or elsewhere at the date of his Oath oth
itrrentory.-
Sworn by the deponent on the
day first abovementioned at
blY .;LIY
before me,—
/
lissioner for Affidavits
A (1:an
(or) Justice of the Peace.
St 8889
48771 gm
ew South
Out.. in
the annexed