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Inventory of the Personal Estate and Effects wheresoever situated of A.B. (design deceased), who died, testate, on the day of 18 , at , and had at the time of his (or her) ordinary or principal domicile in the county of A.
|1.||Cash in the house||£|
|2.||Household furniture and other effects in the house|
|3.||Stock-in-trade and other effects belonging to deceased|
|4.||Money in bank £|
|Interest thereon to date of [F1declaration] to inventory ———|
|Amount of personal estate in Scotland||£———|
|1.||Principal sum in policy of insurance on life of deceased by the A.B. Insurance Co., numbered and dated 18 £|
|Amount of personal estate in England||£——-|
|Total amount of personal estate in Scotland and England||£——-|
(Add under Scotland or England any other estate in usual)
At on the day of 18 . [F2[name and address of applicant] (hereinafter referred to “the applicant”) hereby declares]: That the said A.B. (repeat designation, died, testate, on the day of 18 , at , and had at the time of death his (or her) ordinary or principal domicile in the said county of A.: That the [F3applicant] is the executor of the said A.B., and has entered upon the possession and management of his or her estate as executor nominated by him or her (along with ) in his or her will (or other testamentary settlement or writing) dated the day of 18 , and now exhibited and signed by the [F3applicant], and as relative hereto: That the [F3applicant] does not know of any other will or testamentary settlement or writing relative to the disposal of the deceased’s personal estate or effects, or any part thereof: That the foregoing inventory signed by the [F3applicant], and the said as relative hereto is a full and complete inventory of the personal estate and effects of the said deceased A.B. wheresoever situated and belonging or due to him (or her) beneficially at the time of death in so far as the same has come to the knowledge of the [F3applicant]: That the value at this date of the whole real and personal estate and effects, including the proceeds accrued thereon down to this date, does not exceed [F4£25,000] sterling: That confirmation of the said personal estate and effects in Scotland (England and Ireland, as the case may be) is required in favour of the [F3applicant] (and the said ). F5. . ..
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