NE / Form 71 / Ver 2

(For Official use only)

STATEMENT BY PERSONAL REPRESENTATIVE THAT HE IS ABSOLUTE PROPRIETOR

(A) DESCRIPTION OF LAND

*CT/SSCT/SCT / MK / TS / Lot No / Property Address
Vol / Fol

(B) APPLICANT (PROPRIETOR BY TRANSMISSON)

ID / Co regn no
Name
Citizenship /
Place of Incorporation
Non-Citizens / * Permanent Resident / Non-Permanent Resident
Address
(within Singapore for service of notice)
IMPORTANT NOTICE
The information contained in this instrument forms part of the public records available for inspection and search by membersof the public upon payment of a fee. The information is collected and used for the purpose of maintaining the land registerpursuant to the Land Titles Act.

(C) ENTITLEMENT

Being registered as the proprietor/s of the above land pursuant to a transmission application, having become the absolute proprietor of the estate and interest in the land as beneficiary by virtue of -

* a devise in the will of the deceased proprietor,______(to state the name of the deceased proprietor)

* distribution under the intestacy of the deceased proprietor, ______(to state the name of the deceased proprietor)

** to hold as

Manner of holding

HEREBY DECLARE that:

1)I/We have ceased to hold the above land as personal representative/s of the estate of the deceased proprietor.

2)I/We am/are solely entitled to the estate and interest of the said deceased proprietor in the above land.

3)I/We am/are now the absolute proprietor/s of the estate and interest in the above land.

4)The manner of holding of the above land stated by us in this instrument is in accordance to our entitlement under the *terms of the will / intestacy of the deceased proprietor.

* Please delete what is not applicable

** To be completed if there are two or more applicants

(D) DATE OF APPLICATION : ______

IMPORTANT NOTICE
The information contained in this instrument forms part of the public records available for inspection and search by membersof the public upon payment of a fee. The information is collected and used for the purpose of maintaining the land registerpursuant to the Land Titles Act.

(E) EXECUTION BY APPLICANT

And I make this solemn declaration by virtue of the provisions of the Oaths and Declarations Act (Cap. 211), and subject to the penalties provided by that Act for the making of false statements in statutory declarations, conscientiously believing the statements contained in this declaration to be true in every particular.

Declared at Singapore by the abovenamed ______this ______day of ______200.

Before me,

______

Commissioner for Oaths

FOR OFFICE USE ONLY

REGISTERED ON

Initials of

Signing Officer :for REGISTRAR OF TITLES