STATUTORY DECLARATION

for Transmission to Executor or Administrator on death of registered owner

(to be retained with Client Authority and Instruction, pursuant to section 30 Land Transfer Act 2017) 

Insert names, addresses and details where indicated and delete phrases in [ ] as required

I,
of

and I,
of

solemnly and sincerely declare that:

1.	 I am/we are the executor(s) of the will/administrator(s) of the estate of

	deceased, by virtue of Probate/Letters of Administration [with Will annexed] granted to me/us by the High Court of New Zealand on
	under number
	a certified copy of which is annexed hereto, marked ’A’.

2.	The deceased and the person named as *                                                                    in record of title(s), ………….., were one and the same person.

3.	At the time of his/her death, the deceased was the registered owner of an estate or interest comprised in the said record of title 
	[in his/her own right and free from all trusts and equities].
	[subject only to **                                                                                                                   ].

4. 	I/We verily believe myself/ourselves to be entitled to be registered as owner(s) of the said estate or interest.

And I/we make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957.

DECLARED at                                                 )
this               day of                             20        )
before me:                                                      )

A person authorised to take a statutory declaration under the Oaths and Declarations Act 1957
	
 *Insert name of deceased owner as shown on the register
**State details of any trusts or equities