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STATUTORY DECLARATION
\par 
\par for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1586086\charrsid16009005 Transmission to Executor or Administrator on death of registered proprietor}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1586086 
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\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1586086 Insert names, addresses and details where indicated and delete phrases in [ ] as required
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\par of
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs20\lang1033\langfe1033\langnp1033\insrsid1586086 solemnly and sincerely declare that:
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\par 
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\ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid1586086  I am/we are the executor(s) of the will/administrator(s) of the estate of
\par 
\par 
\par \tab deceased, by virtue of Probate/Letters of Administration [with Will annexed] granted to me/us by the High Court of New Zealand on
\par \tab under number
\par \tab a certified copy of which is annexed hereto, marked \rquote A\rquote .
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The deceased and the person named as *                                                                    in Computer Register(s), \'85\'85\'85\'85.., were one and the same person.
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\pndec\pnb1\pnstart2\pnindent360\pnsp120\pnhang {\pntxta .}}\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin360\pararsid2312991 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid1586086 At the time of his
/her death, the deceased was the registered proprietor of an estate or interest comprised in the said computer register 
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[in his/her own right and free from all trusts and equities].
\par \tab [subject only to **                                                                                                                   ].
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs20\lang1033\langfe1033\langnp1033\insrsid1586086 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid1586086  \tab 
I/We verily believe myself/ourselves to be entitled to be registered as proprietor(s) of the said estate or interest.
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\par }\pard \ltrpar\s18\ql \li0\ri0\nowidctlpar\intbl\tx204\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2312991 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs20\lang1033\langfe1033\langnp1033\insrsid1586086 AND I/we make this declaration}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid1586086  conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957
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\par 
\par DECLARED }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid1586086 at                                               )
\par this               day of                             20        )
\par before me:                                                      )
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\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs16\lang1033\langfe1033\langnp1033\insrsid1586086 A person authorised to take a statutory declaration under the Oaths and Declarations Act 1957
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\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1586086  *Insert name of deceased proprietor as shown on the register
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\i\f1\fs16\insrsid1586086 **State details of any trusts or equities
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\par }}
