SCHEDULE A Form of Inventory and Relative F1Declaration

Annotations:

Inventory of the Personal Estate, wheresoever situated, of [name and description of deceased] who died at on the day of 18.

Scotland.

£

s.

d.

1.

Cash in the house

2.

Household furniture and other effects in the deceased’s house

3.

Stock in trade and other effects belonging to deceased

4.

Sum in bank; viz., [specify it with interest thereon to date of F1declaration to Inventory.]*

*[Add any other estate in the usual form.]—

At , the day of one thousand eight hundred and, F2[name and address of applicant] (hereinafter referred to “the applicant”) hereby declares, that the said died at upon the day of , and had at the time of his [or her] death his [or her] ordinary or principal domicile in the county of : That the F3applicant is the [widow or son or daughter of the said deceased , and is desirous to enter upon the possession and management of the deceased’s estate as his [or her] executor: That the F3applicant does not know of any 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 wheresoever situated and belonging or due to him [or her] beneficially at the time of his [or her] death, in so far as the same has come to the F3applicant’s knowledge: That the value at this date of the said personal estate and effects, including the proceeds accrued thereon down to this date, does not exceed F5£36,000 sterling: That confirmation of the said personal estate in Scotland [England and Ireland as the case may be] is required in favour of the F3applicant. F4. . .