NOTICE TO PROHIBIT GRANT

IN THE MATTER OF..........................................................................DECEASED

LET NOTHING be done in the matter of.............................................................

of...........................................deceased, who died on the.................day of............................20............at............................................................... and had at the time of his death his fixed place of abode at

.................................................................................................................... within the jurisdiction of this Court, without warning being given to .......................

....................................... of......................................... .............................

Dated this....................day of................................2015.

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Signature