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[Collected Rules and Regulations of the Native Land Court, in English and Māori]

Form No. 18

Form No. 18.

Declaration before Grant of Probate.

"The Native Land Court Act, 1894."

In the Native Land Court, New Zealand, District.

In the matter of, deceased.

I,, of, do solemnly and sincerely declare that I knew when alive, and that the said was resident[or domiciled] at, within this district; and that the said died at, on or about the day of, 189.And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of an Act of the General Assembly intituled "The Justices of the Peace Act, 1882."

Declared at, this day of, 189, before me,.