IN THE SUPREME COURT
OF THE NORTHERN TERRITORY
OF AUSTRALIA
PROBATE JURISDICTION
DARWIN REGISTRY
No of 200 THE ESTATE of the late
(name)
late of (address) in the
Northern Territory of
Australia (occupation)
deceased
AFFIDAVIT OF EXECUTOR
DEPONENT:
DATE SWORN/AFFIRMED:
I, (name) of (address) in the Northern Territory of Australia, (occupation) MAKE OATH AND SAY THAT/SOLEMNLY AND SINCERELY AFFIRM THAT -
1. My full residential address is (address).
2. The document dated (date) and signed in the margin by me and by the person before whom this affidavit is sworn/affirmed is, I believe, the last will of (name) the deceased, which will has not been revoked.
3. My means of identifying the will are (state reasons -eg being present at the time it was signed, recognizing the signature etc)
4. I am the executor (or one of the executors) named in the will.
(where relevant add: The other executors named in the will are (set out
names and addresses).
5. The subscribing witnesses to the will are (name) and (name)
______
SWORN /AFFIRMED ON
…………………………………….. ……………………………..
DEPONENT WITNESS
-2-
6. The deceased did not marry after the will was made. (If he did marry state particulars of the marriage)
7. The deceased left an estate within the Territory the value of which is under
$ (amount - total value of assets) being (give brief details e.g.
real estate $ superannuation $ motor vehicle $ etc.)
8. I am over 18 years of age.
9. (where applicable) (name) one of the executors appointed by the will died on (date)
10 (where applicable) (name), one of the executors named in the will renounced probate of the will on (date)
11. The deceased died on (date) aged (number) years.
SWORN/AFFIRMED at (place) )
on (date) )
BEFORE ME:
Commissioner for Oaths/Justice of the Peace