Form 3.23	Affidavit in support of application by public trustee and guardian
Court Procedures Rules 2006
(see r 3055 (Administration by public trustee and guardian—application))
In the Supreme Court of the Australian Capital Territory
Probate jurisdiction
No PRO		of (year) (Court to complete)

In the estate of (full name of deceased person, including any known alias), late of (last address), deceased

On (date), I (full name of person making affidavit) of (home or business address or place of employment), *[say on oath/solemnly affirm]—
1.	(Name) died at (place of death) on (date of death).
*2.	A copy of what I believe to be the last will of the deceased person dated (date) is annexed and marked ‘(insert letter, eg ‘A’)’.
OR
*2.	The deceased person died without leaving a will.
3.	The deceased person *[left/did not leave] property (whether real or personal) in the ACT.
*4.	The deceased person died without leaving a domestic partner or any next of kin.
*4.	The deceased person left a *[domestic partner (state name)/next of kin (state name and relationship to deceased person)] resident in (state jurisdiction).
*[Sworn/Affirmed] by (full name): 
(signature of person making affidavit)
at Canberra in the presence of: 
(signature of person before whom affidavit is made) 
(full name of person before whom affidavit is made) of (address)

*[Justice of the Peace/Barrister/Solicitor/(other)]
Note	If the affidavit is longer than a page, the person making the affidavit and the person taking the affidavit must sign or initial each page of the affidavit (see r 6715 (1) (Affidavit—taking of)).

*omit if, or whichever is, inapplicable