Amended Form of Valuation of Estate

(See sections 58 and 60) IN THE COURT OF RE: PROBATE OF THE WILL OF (OR ADMINISTRATION OF THE ESTATE OF DECEASED.) 1. I (A.B.) am the executor (or one of the executors or one of the next-of-kin, as the case may be) of 2. Probate was (or letters of administration were) granted to me on 3. It has now been discovered that the net value of the estate on which court-fee was paid was not correctly ascertained. 4. I have now truly set forth in Annexure A to this amended Form of Valuation all the estate of the deceased at the date of his death __________________________________________________________________________________ which has the application for probate (or letters of administration) come or is likely to come to my hands. 5. I further have now truly set forth in Annexure B all the items which I am by law allowed to deduct. 6. I further declare that the said estate, exclusive only of the last-mentioned items, at the date of the death of the deceased was ______________________________________ under the value of- this application is 7. I (A.B.) further declare that what is stated in this amended Form of Valuation is true to the best of my information and belief. (signed) A.B.----------