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 – BOLD/CAPITALS]	
late of [address]	
in the Northern Territory of Australia,	
[Occupation], deceased	

AFFIDAVIT OF PLIGHT AND CONDITION

DEPONENT: [INSERT FULL NAME]     
DATE PROMISED: [Insert date]

I, [INSERT FULL NAME] [occupation] of [address] PROMISE THAT:

1.	I am the executor [or as the case may be] named in the document purporting to be the last will of the deceased, who died on or about the [date], a copy of which is annexed and marked "A". 

2.	The will is dated [date] and consists of [no.] of pages.

3.	(Recite the finding of the will, and the various obliterations, interlineations, erasures, and alterations (if any) and the general plight and condition of the will, or any other matters requiring to be accounted for, and clearly trace the will from the possession of the deceased in his or her lifetime up to the time of making the affidavit).

4.	The document is now in all respects in the same state, plight and condition as when found by me save and except as aforesaid.

PROMISED at [Place]
by [INSERT FULL NAME]     			…………………………………              
in the Northern Territory of Australia		Signature of Deponent
on [Insert date]

BEFORE ME:

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

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

THE ESTATE of the late	
[FULL NAME – BOLD/CAPITALS]	
late of [address]	
in the Northern Territory of Australia,	
[Occupation], deceased	

This is the Annexure marked with the letter “A” referred to in the Affidavit of [INSERT FULL NAME]     

promised before me on [Insert date].

	
Commissioner for Oaths/Justice of the Peace

	

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 – BOLD/CAPITALS]	
late of [address]	
in the Northern Territory of Australia,	
[Occupation], deceased	

AFFIDAVIT OF PLIGHT AND CONDITION
_____________________________

		
[APPLICANT NAME]	
[ADDRESS FOR SERVICE ]	
[IN THE NT]	
[CONTACT NO.]