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\par 
\par for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14291506\charrsid16009005 Transmission }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang5129\langfe1033\langnp5129\insrsid14291506\charrsid14315121 by Survivorship on death of registered proprietor
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\af0\afs24 \ltrch\fcs0 \b\f1\lang1033\langfe1033\langnp1033\insrsid14291506 , pursuant to section {\*\xmlopen\xmlns2{\factoidname PlaceName}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname PlaceName}}164C{\*\xmlclose} }{\rtlch\fcs1 
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\par of
\par 
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 solemnly and sincerely declare that:
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\ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 I am/we are the survivor(s) of
\par 
\par \tab deceased, a certified copy of the entry of whose death in the Register of Deaths is annexed hereto marked \lquote A\rquote .
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\par 
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\ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 The deceased and the person named as *                                                                    in Computer Register(s)}{\rtlch\fcs1 \af0 \ltrch\fcs0 
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\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 were one and the same person.
\par 
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 3.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 
 At the time of his/her death, the deceased and I/we were registered as the proprietors as joint tenants of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 an }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 estate or interest}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 
comprised in the said computer register
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506     }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 [in our own right and free from all trusts and equities].
\par \tab [subject only to **                                                                                                                   ].
\par 
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506  \tab I/We truly believe myself/ourselves to be entitled to
 be registered as proprietor(s) of the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 said }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 estate or interest}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 by virtue of my/our survivorship of the deceased.
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\par 
\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\insrsid14291506 AND I/we make this declaration}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506  conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957
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\par 
\par 
\par DECLARED }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe1033\langnp1033\insrsid14291506 at                                               )
\par this               day of                             20        )
\par before me:                                                      )
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs16\lang1033\langfe1033\langnp1033\insrsid14291506 A person authorised to take a statutory declaration under the Oaths and Declarations Act 1957
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* Insert name of deceased proprietor shown on the register
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\i\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14291506 **State details of any trusts or equities
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\f36\fs20\insrsid1582632\charrsid1582632 
\par }}
