Supreme Court Rules 1937—Form 2.19
(see o 72 r 60)
Affidavit in support of application by public trustee

In the Supreme Court of the Australian Capital Territory

Probate jurisdiction

No P		of (year)

In the intestate estate of (name), late of (last address, occupation), deceased

On (date, eg 14 June 2005), I (name, address and occupation) *[say on oath/solemnly affirm]—

1	(Name) died at (place of death), on or about (date of death), intestate, and having at the time of * [his/her] death estate in the ACT liable to waste.
2	The deceased person died without leaving a spouse or any next of kin resident in the ACT.
3	(if deceased person left a spouse or any next of kin resident outside ACT) The deceased person left a *[spouse/next of kin (if next of kin, state name and relationship to deceased person)] resident in (state jurisdiction).

(signature of person making affidavit)

*[Sworn/Affirmed] at

before me:

(signature of person before whom affidavit is taken)
*[Justice of the Peace/Barrister/Solicitor/(other)]

*(delete whichever is inapplicable)

Endnote
1	This form was originally in the Supreme Court Rules 1937.  Under the Court Procedures Act 2004 A2004-59, pt 8, the form became a form approved under that Act. 

©  Australian Capital Territory 2005