Schedule III

(See section 32) Form of valuation (to be used with such modifications, if any, as may be necessary) IN THE COURT OF RE-PROBATE of the Will of and credits of (or Administration of the property), deceased I, solemnly affirm make oath and say that I am the executor (or one of the executors or one of the next of kin) of..................................................... ... ........................................................ , deceased, and that I have truly set forth in Annexure A to this affidavit all the property and credit of which the above named deceased died possessed or was entitled to at the time of his death, and which have come, or are likely to come, to my hands. 2. I further say that I have also truly set forth in Annexure-B all the items I am by law allowed to deduct. 3. I further say that the said assets, exclusive only of such last mentioned items but inclusive of all rents, interest, dividends and increased values since the date of the death of the said deceased, are under the value of ANNEXURE A Valuation of the Movable and Immovable Property of the Deceased Rs. Cash in the house and at the banks, household goods, wearing apparel, books, plate, jewels, etc. ... .... ... .. (State estimated value according to best of Executor’s or Administrator’s belief). Property in Government securities transferable at the Public Debt Office. ... .... ... .. (State description and value at the price of the day; also the interest separately, calculating it to the time of making the application). Immoveable property consisting of (State description, giving, in the case of houses the assessed ... .... ... .. value, if any, and the number of years’ assessment the market-value is estimated at, and in the case of land, the area, the market–value and all rents that have accrued). Leasehold property ... .... ... .. (If the deceased held any leases for years determinable, state the number of years’ purchase the profit rents are estimated to be worth and the value of such, inserting separately arrears due at the date of death and all rents received or due since that date to the time of making the application). Property in public companies ... .... ... .. (State the particulars and the value calculated at the price of the day; also the interest separately, calculating it to the time of making the application). Policy of insurance upon life, money out on mortgage and other securities, such as bonds, mortgages, bills, notes and other securities for money ... .... ... .. (State the amount of the whole; also the interest separately, calculating it to the time of making the application). Books-debts ... .... ... .. (other than bad). Stock-in-trade ... .... ... .. (State the estimated value, if any). Other property not comprised under the foregoing heads ... .... ... .. (State the estimated value, if any). Total : Deduct amount shown in Annexure B not subject to duty Net Total: ANNEXURE B Schedule of Debts, etc. Amount of debts due and owing from the deceased, Rs. payable by law out of the estate ... .... ... .. Amount of funeral expenses ... .... ... .. Amount of mortgage incumbrances ... .... ... .. Property held in trust not beneficially or with general power to confer a beneficial interest ... .... ... .. Other property not subject to duty ... .... ... .. Total : Secretariat, SANDIP JACQUES, Porvorim, Goa. Secretary to the Government of Goa, 2nd September, 2024. Law Department (Legal Affairs). ___________________