Form
118 (version 2)
SCR
Part 78 rule 12
(SCR
Form 97)
AFFIDAVIT OF EXECUTOR
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COURT DETAILS
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Court
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Supreme Court of New South Wales
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Division
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Equity
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List
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Probate
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Registry
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Sydney
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Case number
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TITLE OF PROCEEDINGS
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The estate of [name of deceased]
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Late of:
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FILING DETAILS
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Filed for
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[name/s] plaintiff[s]
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#Legal representative
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[solicitor on record] [firm]
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#Legal representative reference
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[reference number]
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Contact name and telephone
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[name] [telephone]
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Contact email
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[email address]
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AFFIDAVIT
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Name
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Address
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Occupation
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Date
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I [#say on oath #affirm]:
1. The
document dated (date)
and signed in the margin by me and by the person before whom this
affidavit is sworn is, I believe, the last will of (name),
late of (place,
occupation),
the deceased, and I am not aware of the existence of any other
document purporting to embody the testamentary intentions of the
deceased [where
applicable
except for (specify
document)].
2. My
means of identifying the will are (state
these).
3. The
attesting witnesses to the will are (name)
and (name).
4. The
deceased died on (date)
aged (number)
years and I believe that the deceased is (name
in certificate of registration of death)
referred to in the certificate of registration of death which is
annexed and marked ``A''.
5. The
deceased {did
or
did not}
marry after the will was made [where
applicable
namely to (name)
on (date)].
6 The
deceased left assets within New South Wales.
7. I
am the executor named in the will and I am over 18 years of age.
8. [Where
applicable (name)
one of the executors named in the will {died
on (date)
as evidenced by the death certificate annexed and marked ``....'' or
renounced probate of the will on (date)}.]
9. If
I am granted probate of the will of the deceased:
(a) I
will administer the estate according to law; and
(b) I
will:
(i) verify
and file; or
(ii) verify,
file and pass,
my
accounts relating to the estate of the deceased within 12 months from
the date of grant if
so required by the Court.
10. #Where
a notice of the application was published on the New South Wales
On-line Registry website Notice
of this application was published on the New South Wales On-line
registry website on (date).
#Where
the deceased resided at the date of his or her death in the State and
the notice was published before 21 January 2013
Notice of this application was published on (date)
in the (name),
which is a newspaper circulating in the district where the deceased
resided at the date of the deceased's death, evidenced by the tear
sheet annexed and marked ``....''.
or
#Where
the deceased did not reside at the date of his or her death in the
State and the notice was published before 21 January 2013
Notice of this application was published on (date)
in the (name),
which is a Sydney daily newspaper, as evidenced by the tear sheet
annexed and marked ``....''.
11. The
names, ages and entitlements of the persons entitled in distribution
of the estate of the deceased are-(state
these).
12. A
statement of all assets of the deceased of which I am presently aware
is annexed and marked ``....''. I will disclose to the Court any
other asset which comes to my notice.
13. The
liabilities of the deceased of which I am presently aware are as
follows:
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Date
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Name
of creditor, etc.
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Description
of liability
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Estimated
or known amount
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Secured
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Unsecured
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(date
liability incurred eg 3-8-93 (date)
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(name)
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(description)
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$
(amount)
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$(amount)
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(add
a row for each liability)
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14. The
estate has a gross value of $ (amount)
and a net value of $ (amount).
15. I
am not aware of any circumstances which raise doubt as to my
entitlement to a grant of probate of the will of the deceased [where
applicable
except for (specify
matter)].
1
[The only "special justification" for not removing a face
covering is a legitimate medical reason (at April 2012).]
2
["Identification documents" include current driver licence,
proof of age card, Medicare card, credit card, Centrelink pension
card, Veterans Affairs entitlement card, student identity card,
citizenship certificate, birth certificate, passport or see Oaths
Regulation 2011 or JP Ruling 003 - Confirming identity for NSW
statutory declarations and affidavits, footnote 3.]
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