That the commissions allowed me as amount to the sum of $..... administra.... IX. That all the parties in interest are alive, of full age and sound mind, unless otherwise stated in the following paragraph: X. That all the persons who are entitled to share in the estate of said decedent, their addresses, ages, the amount of their shares and their relationship to decedent, are as follows: NAME AND RELATIONSHIP. Age. Address. Share (per cent). Sworn to before me, this ...... day of ... 19... being duly sworn, deposes and says: I. That ..he resides at .... sole State of executor of said an III. That deponent was appointed will, has duly qualified and is now acting as such executor. IV. That hereto annexed and made a part hereof is an itemized statement marked "A," of all the property, real and personal, of which said decedent died seised and possessed, situated within the State of New York, and an itemized statement, marked "B," of all the personal property situated without the State of New York. V. That at the time of his death, decedent had no safe deposit box, no bonds, public or private, no mortgages and no money within the State of New York; he had no interest in any business or copartnership carried on therein; he owned no shares of stock in national banks situated therein and owned no shares of stock in corporations organized and existing under the laws of the State of New York; he owned no jewelry, horses, carriages or furniture; and was possessed of no other personal property of any kind whatsoever in said State except as set forth in said schedule "A." VI. That the decedent at the time of his death owned no real estate situated within the State of New York. VII. That prior to his death, decedent made no transfer of property in the State of New York by deed, grant, bargain, sale or gift in contemplation of death, or intended to take effect at or after death; that decedent had no power of appointment over property, real or personal, located therein. VIII. That the fair market value of the entire personal estate of said decedent at the time of his death wheresoever situated was the sum of $....... That the funeral expenses of said decedent amounted to the sum of $..... That the debts itemized in a statement hereto annexed, marked "C," due and owing by decedent at the time of his death, exclusive of funeral expenses, mortgages on real estate, inheritance taxes paid to the United States Government, or to any Foreign or State Government, or loans secured by collateral, amount to the sum of $............. That the administration expenses incurred and to be incurred, exclusive of expenses in the preceding paragraphs, amount to the sum of $..... That the commissions allowed me as executor amount to the sum of $............. IX. That annexed hereto, marked schedule "D" and made a part hereof is a true copy of said decedent's last will and testament. X. That all the parties in interest are alive, of full age and sound mind, unless otherwise stated in the following paragraph. Sworn to before me, this ...... day of (Attach County Clerk's certificate.) 19... .... § 365. Memorandum Used by Appraisers of New York County for Preparation of Affidavits. In appraisal proceedings, affidavits should embody the following facts, and should state each in detail: 1. Date of death. 2. Residence at time of death. 3. Did decedent leave a will? If so, annex a certified copy, or swear that the annexed is a true copy. Also state when and where said will was probated, and date when letters were issued, and to whom. 4. Name and address of executors or administrators. 5. Personal property itemized, setting forth par and market value of each item at date of decedent's death, and how the value thereof was ascertained. State specifically whether decedent died possessed of any silverware, jewelry, household furniture, personal effects, statuary, works of art, paintings, pictures, books, bric-a-brac, etc. If assets include stocks or bonds, state details, as per example: 100 shares Erie R. R. common stock, par value 100, 1234 ..... $1,275 00 100 shares Erie R. R. preferred stock, par value 100, 3734 3,775 00 100 shares Erie R. R. 2d preferred stock par value 100, at 1912 1,950 00 One $1,000 bond Chicago & Northwestern, consolidated, 7's, due 1915, at 1372. 1,375 00 One $1,000 bond Chicago & Northwestern, gold, 7's, due 1902, at 109 1,090 00 One $1,000 bond Chicago & Northwestern Extension, 4's, due 1926, at 10812 1,085 00 One $1,000 bond Chicago & Northwestern Sinking Fund, 6's, due 1929, at 118 .... 1,180 00 In addition, if securities are unlisted, state capitalization, kind of business, itemized statement as to assets, values thereof, itemized statement of liabilities, dividends paid, and date of maturity, with such other facts as may be pertinent, affecting their value, as of date of decedent's death. State whether decedent died possessed of mortgages or promissory notes or had any interest accrued thereon and unpaid at date of decedent's death. State whether there are any claims or unlisted securities which are alleged to be of less than their face value, and state particularly, and in detail, the reasons for their depreciation. State whether decedent left any real estate in the State of New York. If same is taxable, describe it in detail, with street and number, City and County; give its full value and assessed value, and furnish an appraisal thereof by a competent real estate expert. State relationship of decedent to beneficiaries. State exemptions claimed and itemize same. If there is a life estate, give name and age of life tenant, and name of remainderman. State whether any party in interest be dead; whether he died before or after the decedent, and give name of his survivors if they are interested. State whether decedent made any transfer or conveyance of real or personal property prior to death, in contemplation of death, to take effect at or after death. If yes, what property, and of what value. State whether deponent has made diligent search for property of every kind, nature and description, left by the decedent, and that he has been able to discover only that mentioned in his affidavit, and that he verily believes that decedent left no property, either real or personal, except that set forth in his affidavit. If debts and funeral expenses are requested to be deducted, itemize the same and state whether said debts were due and owing at the date of death of the decedent, and have been paid or will be paid. Kindly file a statement of the amount of each legacy and distributive share, with the names of the beneficiaries. State whether all parties in interest are of full age and of sound mind, and if there are infants, state their names and whether they are under or over fourteen years of age. State whether decedent had any life insurance, interest in any business, or in any estate, and if so, state the same fully and in detail. State whether any reversion fell in by reason of decedent's death. If decedent left any interest in any copartnership or any business, state fully, in itemized form, the assets of the same and the liabilities thereof, as shown by the books for several years preceding his death. If the decedent be a nonresident, state, in itemized form, the value of the personal and real property within the State of New York, and if the decedent owned any shares of stock of corporations of the State of New York and the gross value of the entire personal estate wherever situated. State whether the decedent was a member of any Exchange. State whether decedent was given power of disposition of property by the will of another. spectfully shows: of the City of re I. That your petitioner is the District Attorney of the County of ... Your petitioner further alleges upon information and belief: ... at died and was at the time II. That on or about the ...... day of the City of.... of ...... death a resident of the .... and County of ..... III. of (State status of transfer tax proceeding had, if any.) IV. The said decedent died seised or possessed of property within this State, or subject to its laws, the value of which exceeded the sum of .... V. That upon h.. death certain of the property of said decedent thereupon passed to |