IN THE COURT OF THE

DOMICILE

IN THE ESTATE of DECEASED late of

ADDRESS2,

MARITAL

deceased (“the Deceased”)

I, NAME, POSITION, of ADDRESS, do hereby make oath and say as follows:

1. The Deceased died at PLACE on DATE at the age of AGE years, having made and executed his/her last Will dated WILL.  The Deceased appointed EXECUTOR, now aged ..................... years, as the sole executor/executrix in the Will.

2. The Deceased died domiciled in DOMICILE

3. The Deceased named the following persons the beneficiaries in the estate:

 

Name                                  Now Aged/Date of death if applicable

EXECUTOR

4. The Deceased did not name any residuary legatee or devisee holding in trust for any other person in the Will.

 

5. The Deceased did not name any residuary legatee or devisee for life in the Will.

6. By a renunciation dated ................. EXECUTOR, the sole [executor/executrix] named in the Will, renounced all [his/her right] and title to probate and execution of the Will.

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