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    Panduan Mengisi (Bahasa Melayu) - ForM A

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    muhammad irfan mohd
    1. This document is a petition form under Section 8 of the Small Estates (Distribution) Act 1955 in Malaysia. It provides details about the deceased estate of [NAME] who passed away on [DATE]. 2. The petitioner, [NAME], claims to be a beneficiary of the estate as the [RELATIONSHIP] of the deceased. 3. Details of the deceased's property are listed, including immovable property like land and buildings, movable property like bank accounts and vehicles, and any debts owed to the deceased. 4. The petition requests for the court to distribute the deceased estate according to the Small Estates (Distribution) Act 1955.

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    Panduan Mengisi (Bahasa Melayu) - ForM A

    Uploaded by

    muhammad irfan mohd
    198 views2 pages
    1. This document is a petition form under Section 8 of the Small Estates (Distribution) Act 1955 in Malaysia. It provides details about the deceased estate of [NAME] who passed away on [DATE]. 2. The petitioner, [NAME], claims to be a beneficiary of the estate as the [RELATIONSHIP] of the deceased. 3. Details of the deceased's property are listed, including immovable property like land and buildings, movable property like bank accounts and vehicles, and any debts owed to the deceased. 4. The petition requests for the court to distribute the deceased estate according to the Small Estates (Distribution) Act 1955.

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    panduan mengisi

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    1. This document is a petition form under Section 8 of the Small Estates (Distribution) Act 1955 in Malaysia. It provides details about the deceased estate of [NAME] who passed away on [DATE]. 2. The petitioner, [NAME], claims to be a beneficiary of the estate as the [RELATIONSHIP] of the deceased. 3. Details of the deceased's property are listed, including immovable property like land and buildings, movable property like bank accounts and vehicles, and any debts owed to the deceased. 4. The petition requests for the court to distribute the deceased estate according to the Small Estates (Distribution) Act 1955.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    198 views2 pages

    Panduan Mengisi (Bahasa Melayu) - ForM A

    Uploaded by

    muhammad irfan mohd
    1. This document is a petition form under Section 8 of the Small Estates (Distribution) Act 1955 in Malaysia. It provides details about the deceased estate of [NAME] who passed away on [DATE]. 2. The petitioner, [NAME], claims to be a beneficiary of the estate as the [RELATIONSHIP] of the deceased. 3. Details of the deceased's property are listed, including immovable property like land and buildings, movable property like bank accounts and vehicles, and any debts owed to the deceased. 4. The petition requests for the court to distribute the deceased estate according to the Small Estates (Distribution) Act 1955.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    FORM A

    (Subregulation 3(1))
    MALAYSIA
    State of WILAYAH PERSEKUTUAN
    District of KUALA LUMPUR
    SMALL ESTATES (DISTRIBUTION) ACT 1955
    DISTRIBUTION SUIT NO. ……(No. Fail Guaman Pembahagian)……… OF 20…….

    In the Estate of …………………( Nama Simati )…........................................………….. deceased Petition of


    ………………………( Nama Pemohon)…………………………………… (Petitioner)
    of………………………………....……….( Alamat surat menyurat )………………………………………
    …………………………………………………….. Contact No. …………( No. telefon untuk dihubungi )……

    PETITION UNDER SECTION 8


    I, the above-named petitioner state as follows :

    1. The deceased died on the …( tarikh mati )… day of …(bulan)…, year …..(Tahun)….

    2. I am a person claiming to be interested in the said estate as Beneficiary /


    Creditor / Purchaser / Corporation / Settlement Officer / Penghulu / Penggawa of the
    Mukim of ……………………..( Nama Mukim ) ………………………………………………………………………..
    (*As beneficiary, my relationship to the deceased is …( pertalian dengan simati, contoh -
    isteri/suami/anak )……………… )

    3. To the best of my knowledge and belief the deceased left a


    widow/widows/widower and the next-of-kin as follows:

    Name IC No. Address Relationship


    (or any other to deceased
    identification no.)

    Nama waris simati,


    contoh - ibu dan bapa
    simati, suami/isteri,
    anak lelaki dan anak
    perempuan
    Lain-lain waris yang
    berhak

    (If no ample space, please attach and sign the annexure)

    4. The deceased was at the date of his death possessed of the following property :

    A- IMMOVABLE PROPERTY

    Description and No. Lot/Parcel/ Town/ Share Address of the


    of Title PT No. Village/ property
    Mukim and
    District

    Contoh - HS(M) 111 Lot 215 Kuala 1/1 Alamat Harta


    Lumpur
    (If no ample space, please attach and sign the annexure)
    B- MOVABLE PROPERTY

    Description of movable property Approximate Value

    1. Simpanan Bank ….. (No. A/K: ) (Anggaran Nilaian - RM ……..)


    2. Saham (No. Ahli: )
    3. Proton Wira (No. Pendaftaran: )

    (If no ample space, please attach and sign the annexure)

    C- DEBTS DUE TO DECEASED

    Description of debt Amount Name and address of debtor

    Perihal orang/syarikat yang (Jumlah – RM ……) (Nama dan Alamat


    berhutang dengan si mati Penghutang)

    (If no ample space, please attach and sign the annexure)

    5. The deceased was at the date of his death indebted as follows :

    Nature of debt Amount Name and address of creditor

    Hutang simati yang belum (Jumlah – RM ……) (Nama dan Alamat Pemiutang)
    dijelaskan

    (If no ample space, please attach and sign the annexure)

    6. I pray that the deceased’s estate may be distributed in the manner provided by
    Part II of the Small Estates (Distribution) Act 1955.

    7. As far as my knowledge goes no previous application for distribution of the


    estate of the deceased has been made by any person and I make this solemn declaration
    conscientiously believing the particulars given above to be true and by virtue of the
    provisions of the Statutory Declarations Act 1960.

    Dated at …(Tarikh Akuan Dibuat)… this…….. day of ………………20 ……

    Signed and solemnly declared by the


    above-named …(Nama Pemohon)… ..…(Tandatangan Pemohon)…..
    at ………………………………………………. Signature of Petitioner
    in the State of ………………………………
    dated this …………………..20 ……………

    In the presence of :

    …(Tandatangan dan Cop Majistret/Pesuruhjaya Sumpah)…


    Magistrate/Commissioner for Oaths

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