Notice of intended application for administration where there may be a de facto spouse or domestic partner128 http://www.ucprforms.lawlink.nsw.gov.au/ucprforms/index.html

Form 128 (version 2)

SCR Part 78 rules 21(3) and 22(3)

(SCR Form 103B)

NOTICE OF INTENDED APPLICATION FOR ADMINISTRATION WHERE THERE MAY BE A #DE FACTO SPOUSE #DOMESTIC PARTNER

COURT DETAILS
Court	Supreme Court of New South Wales
Division	Equity
List	Probate
Registry	Sydney
Case number
TITLE OF PROCEEDINGS
	The estate of [name of deceased]
	Late of:
FILING DETAILS
Filed for	[name/s] plaintiff[s]
#Legal representative	[solicitor on record] [firm]
#Legal representative reference	[reference number]
Contact name and telephone	[name] [telephone]
Contact email	[email address]
To: (Name) (Address)

After 14 days from the date of service of this notice on you, an application for a grant of administration of the estate of the deceased will be made by (name). There is a claim that the deceased left a #de facto spouse #or domestic partner, (name). Served on you with this notice are—

(a)  affidavits setting out facts relating to the #de facto relationship #or domestic partnership claimed and other matters;

(b)  an affidavit showing the assets and liabilities of the estate and the persons who are entitled in distribution of the estate and who would, if the deceased had not left a #de facto spouse #or domestic partner have been so entitled.

If you do not oppose the application, the Court may grant administration to the applicant who may then be at liberty to distribute in due course to the #de facto spouse #or domestic partner the estate or part of the estate to which she (or he) is entitled.

If the deceased did not leave a #de facto spouse #or domestic partner and you were entitled to the estate or part, you may have been entitled to a grant of administration of the estate of the deceased.

.SIGNATURE
#Signature of legal representative
#Signature of or on behalf of party if not legally represented
Capacity	[eg plaintiff, solicitor on record, contact solicitor]
Date of signature

FURTHER DETAILS ABOUT THE INTENDING PLAINTIFF

Plaintiff

Name
Address [The filing party must give the party's address.]	#[unit/level number]		#[building name]
	[street number]	[street name]		[street type]
	[suburb/city]	[state/territory]		[postcode]
	#[country (if not Australia)]
#Frequent user identifier	[include if the plaintiff is a registered frequent user]

#Contact details for plaintiff acting in person

Address for service [The filing party must give an address for service. This must be an address in NSW unless the exceptions listed in UCPR 4.5(3) apply. State "as above" if the filing party’s address for service is the same as the filing party's address stated above.]	#as above #[unit/level number]		#[building name]
	[street number]	[street name]		[street type]
	[suburb/city]	[state/territory]		[postcode]
Telephone
#Fax
Email

#Legal representative for intending plaintiff

Name	[name of solicitor on record]
Practising certificate number
Firm	[name of firm]
#Contact solicitor	[include name of contact solicitor if different to solicitor on record]
Address	#[unit/level number]		#[building name]
	[street number]	[street name]		[street type]
	[suburb/city]	[state/territory]		[postcode]
DX address
Telephone
Fax
Email
Electronic service address	[#email address for electronic service eg service@emailaddress.com.au #Not applicable]