Sworn at by C.D. ) …....…... on the day of ) ….............. 19 ) C.D. ………........…… ….. Before me: ………………………… FORM 4 Rule 47 AFFIDAVIT AS TO ALIAS (2) Intestacy South Australia In the Supreme Court Testamentary Causes Jurisdiction In the Estate of Miriam Sarah Smith otherwise Sarah Smith deceased I, C.D. of [address make oath and say that: and occupation] 1 I am the intended administrator of the estate of Miriam Sarah Smith otherwise Sarah Smith late of [address deceased who died at on the and occupation] (“the deceased”) …………… day of ….. ….. 19… intestate. 2 [Here e.g.: The establish the identity of the deceased under the alternative names deceased’s correct name is Miriam Sarah Smith but that she usually referred to herself as Sarah Smith and was generally known by that name.] 3 [Here e.g.: set out details of property justifying the issue of the grant in the alternative names The deceased effected a policy of assurance on her own life in the name of Sarah Smith in the X Insurance Company Ltd. A letter signed by the Manager of the Company verifying the name in which the policy is held is now produced to me and marked “A”. and 4 The deceased is registered in the name of Miriam Sarah Smith as the proprietor of an estate in fee simple in the whole of the land comprised in Certificate of Title Register Book Volume Folio A photocopy of the Certificate of Title is now produced to me and marked ….. ….. “B” (or as the case may be).] 5 In order to deal with the above property it is desired that the grant should issue in the names of Miriam Sarah Smith otherwise Sarah Smith deceased. Sworn at by C.D. ) …....…... on the day of ) ….............. 19 ) C.D. ………........…… ….. Before me: …………………………
Sworn at …....…... by C.D. ) on the ….............. day of ) ………........…… 19 ….. ) C.D. Before me: ………………………… FORM 4 Rule 47 AFFIDAVIT AS TO ALIAS (2) Intestacy South Australia In the Supreme Court Testamentary Causes Jurisdiction In the Estate of Miriam Sarah Smith otherwise Sarah Smith deceased I, C.D. of [address and occupation] make oath and say that: 1 I am the intended administrator of the estate of Miriam Sarah Smith otherwise Sarah Smith late of [address and occupation] deceased (“the deceased”) who died at …………… on the ….. day of ….. 19… intestate. 2 [Here establish the identity of the deceased under the alternative names e.g.: The deceased’s correct name is Miriam Sarah Smith but that she usually referred to herself as Sarah Smith and was generally known by that name.] 3 [Here set out details of property justifying the issue of the grant in the alternative names e.g.: The deceased effected a policy of assurance on her own life in the name of Sarah Smith in the X Insurance Company Ltd. A letter signed by the Manager of the Company verifying the name in which the policy is held is now produced to me and marked “A”. and 4 The deceased is registered in the name of Miriam Sarah Smith as the proprietor of an estate in fee simple in the whole of the land comprised in Certificate of Title Register Book Volume ….. Folio ….. A photocopy of the Certificate of Title is now produced to me and marked “B” (or as the case may be).] 5 In order to deal with the above property it is desired that the grant should issue in the names of Miriam Sarah Smith otherwise Sarah Smith deceased. Sworn at …....…... by C.D. ) on the ….............. day of ) ………........…… 19 ….. ) C.D. Before me: …………………………
Supreme%20Court%20Probate%20Rules%202004.docx