Instruction to Probate Form | DunnCox

Please leave this field empty.

Probate Information

Date:*

Given by:*

Information about the Deceased

First Name(s):*

Last Name:*

Was he/she known by any other name? If so, what was this name?

Age:

Occupation:*

Last fixed address of the Deceased:*

Date of Death (an Affidavit of Delay is necessary if death occurred 3 years or more before the instructions are given:*

Full name, address and occupation of someone who can depone to an Affidavit in Proof of Death

Name:

Address:

Occupation:

Is a certified copy of Death Certificate available?
YesNo
N.B. If not, efforts must be made to obtain a copy of the Order for Burial (pink paper).

Executors

Is/are the Executor(s) named in the Will alive?
YesNo

Executor A

Name:*

Occupation:*

Address:*

Add an additonal Executor?
YesNo

Executor B

Name:*

Occupation:*

Address:*

Add an additonal Executor?
YesNo

Executor C

Name:*

Occupation:*

Address:*

Add an additonal Executor?
YesNo

Executor D

Name:*

Occupation:*

Address:*

Attesting Witnesses

Are the Attesting Witnesses alive?:
YesNo

Attesting Wittness A

Name:*

Occupation:*

Address:*

Add an additonal Attesting Wittness ?
YesNo

Attesting Wittness B

Name:*

Occupation:*

Address:*

Add an additonal Attesting Wittness ?
YesNo

Attesting Wittness C

Name:*

Occupation:*

Address:*

Add an additonal Attesting Wittness ?
YesNo

Attesting Wittness D

Name:*

Occupation:*

Address:*

If none of these witnesses are alive. State the full name, address and occupation of someone who can swear to the execution of the Will to be a Testator/trix.

Name:*

Occupation:*

Address:*

If applicable, state the full name, address and occupation of someone who can depone to either an Affidavit of Handwriting of Attesting Witness or an Affidavit of Handwriting of the Testator/trix.

Name:

Occupation:

Address:

In the case of an undated will: State someone who can remember the date it was actually signed must swear to this fact

Name of said individual:

Name of person who wrote or typed the Will:

Occupation of person who wrote or typed the Will:

Address of person who wrote or typed the Will:

If the Will was read over to the deceased, by whom was it read over? State the full name, address and occupation of this person

Name:

Occupation:

Address:

Did the deceased appear to have fully understood and agreed with the meaning and purport of his/her Will?:
YesNo

Did the deceased appear to have signed same of his/her own free will?:
YesNo

Liabilities

Funeral expenses =:

N.B. Copies of documentary proof in support of this sum must be obtained, if available.

Mortgage loans and other personal debts =:

Assets

(a) Realty: (Bare land or land with building(s) thereon):

(b) Personalty: (e.g. Bank Accounts, Insurance Policies, Motor Vehicles, Shares and Stocks, etc.):

Which was the principal place of residence of the deceased:
Which of the above mentioned items of Real Estate (if any) was used as the principal place of residence of the deceased and any other person(s) up to the date of his/her death?

For how many years was this property the principal place of residence?: