115

Printed by Authority.
A. This form should be used in ALL cases EXCEPT when the whole personal estate wherever situate and without debts or funeral
expenses is under the value of £100 so that no Stamp Duty or Legacy Duty is payable OR when a Stamp duty of 30s. is to
be impressed under the provisions of Sec. 33 of the Act 44 Victoria cap. 12.
A Stamp duty of 30s. can be impressed only in the case of a person dying on or after the 1st June 1881 whose whole personal estate wherever situate and without deducting debts or funeral expenses exceeds the value of £100, but does not exceed the value of £300.
9Sffidavit or Affirmation for the Commussioners of Inland Revenue.)
N.B.- Where the deceased died domiciled abroad, only the first 3 paragraphs need be used, and no deduction of
debts can be taken.
Where the deceased died domiciled in the United Kingdom, but deduction of debts is not taken, only the fit
5 paragraphs need be used, unless it is intended to have the grant re-sealed, in which case paragraph 6
should be added.
IN THE HIGH COURT OF JUSTICE IN ENGLAND.
PROBATE DIVORCE AND ADMIRALTY DIVISION.
The Principal - Registry
IN the goods of George Frederick Campbell Bray deceased.
I Charlotte Frances Bray of No. 16 Kidbrook Grove.
Blackheath in the county of Kent widow---
Make oath-- and say as follows: -
1. desire to obtain a grant of Probate of the Will of George
Frederick Campbell Bray formerly ---
of Tring in the county of Hertford a Colonel under Majestys Army and
late of No 16 Kidbrook Grove Blackheath aforesaid a Major General in the said Army.
deceased who died at No. 16 Kidbrook Grove Blackheath aforesaid ----
on the 26th day of September one thousand eight hundred and eighty four
domiciled in --- that part of the United Kingdom called England
------
------
2. The account No. 1, hereto annexed, is a true account of the particulars and present value so far as
I have been able to ascertain the same of all the personal estate and effects of the deceased, for or in respect of
which the grant is to be made, exclusive of what the deceased may have been possessed of or entitled to as a trustee and not beneficially.
The gross value thereof altogether is £1793:14:0.
3. The deceased owned no real estate in the United Kingdom
4. The deceased had no personal estate and effects situate abroad ----
5. The deceased left a --- widow eight--- lawful usse surviving.
6. The deceased had no personal or moveable estate and effects within the United Kingdom other than
and besides the personal estate and effects, the particulars and value whereof are contained in the account No. 1,
hereto annexed. The whole there of is in England -----
-----
----
7. The first part of the schedule hereto annexed contains a true and particular list of the debts due and
owing from the deceased at the time of his death to persons resident within the United Kingdom with the names
and addresses of the several persons to whom the same are respectively due, and the descriptions and maounts
of such debts. The second part of the schedule contains a true account of the funeral expenses of the deceased.
8. The said debts are payable by law out of the personal estate and effects comprised i nthe account No. 1,
hereto annexed, and are not nor are any of them voluntary debts made payable on the death of the deceased
or voluntary debts payable under some intrument delievered to the donee thereof within three months before
the death of the deceased, or debts which are primarily payable out of any real estate belonging to the deceased,
or debts in respect whereof a reimbursement is capable of being claimed from any real estate of the decased
or from any other estate or person whatsoever.
9. The aggregate amount of the said debts and funeral expenses is £632:14:5, which being deducted
from the value of the personal estate and effects as specified in the account No. 1, hereto annexed, reduces
such value to the sum of £1160:19:7.
All which is true to the best of my knowledge and belief.
Sworn by the above-named Charlotte Francis
Bray ---------
-------
at No. 16 Kidbrook Grove Blackheath in the county of Kent
on the seventh -- say of October 1884.
Before me
A.W. Vaisey
a Commissioner to administer oaths in the Supreme
Court of Judicature in England.