FORM 88Q
rule 88.25(2)

IN THE SUPREME COURT
OF THE NORTHERN TERRITORY
OF AUSTRALIA
PROBATE JURISDICTION
[DARWIN or ALICE SPRINGS] REGISTRY

No.		
THE ESTATE of the late	
[FULL NAME – CAPITALS AND BOLD] late of [address],	
[occupation], deceased	

AFFIDAVIT OF APPLICANT FOR ADMINISTRATION WITH THE WILL ANNEXED

DEPONENT: [FULL NAME – CAPITALS]
DATE MADE: [DATE]

I, [FULL NAME – CAPITALS] of [address], [occupation], make oath and say that:

1.	My full residential address is [address].

2.	The document, dated [date of will] and signed in the margin by me and the person witnessing this affidavit is, I believe, the last will of [DECEASED’S FULL – CAPITALS], the deceased. 

3. 	My means of identifying the will are [means of identifying the will, such as being present at the time the will was signed or recognising the signature of the deceased].

4. 	The (where applicable: executor / executors) named in the will (where applicable: is [full name of executor] and [his/her] address is [address] / are [full name and address of each executor]).

5. 	The subscribing witnesses to the will are [FULL NAME OF WITNESS - CAPITALS] and [FULL NAME OF WITNESS - CAPITALS].

6.	The deceased (where applicable: did not marry after the will was made / married after the will was made [set out full particulars of the marriage]).

7.	The deceased left an estate within the Territory, the value of which is 
$ [amount stated as the gross total of assets] being [provide a brief description of the assets such as real estate, superannuation, motor vehicle, money in bank account]
__________________________________________________________________
MADE ON [date]
.…………………………                            		…………………………….
Deponent		Commissioner for Oaths/
Justice of the Peace

8.	(Where applicable: [full name], the executor named in the will renounced probate of the will on [date]).

9.	(Where applicable: [full name], the (where applicable: executor / beneficiary) named in the will, died on [date]. The certificate of registration of death is annexed and marked "A”).

10.	I am over the age of 18 years of age. 

11.	I am not an undischarged bankrupt and I have not assigned or encumbered my interest in the estate.

12.	The names and ages of the persons entitled to share in the estate are:

[person’s full name, age in years, and address] 

(where applicable - where the names of all the persons entitled do not appear on the face of the will: [person’s full name, age in years, address and the facts that show the person is entitled]) 

13.	I am not aware of any claims against the estate (where applicable: other than those set out in the affidavit of assets and liabilities filed in this proceeding). 	
14.	The deceased died on [date] aged [number] years.

15.	I am entitled to a grant of administration with the will annexed in the estate of the deceased because [set out full particulars of the character in which the person making the application claims to be entitled to a grant and the truth of that statement, for example “I am the mother of the deceased. His father and brother have given consent to administration” or “I am the wife of the deceased and am entitled to be granted administration of the estate pursuant to section 22 of the Administration and Probate Act 1969” or “I am a creditor of the deceased [set out full particulars of the debt, amount and evidence to support the claim]”]. 

MADE at [Place]
in the Northern Territory of Australia
by [Full name of Deponent]			…………………………………              
on [date]						Signature of Deponent

BEFORE ME:

………………………………………                            			
Commissioner for Oaths/
Justice of the Peace