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Affidavit of Executor

The executor named in the will of the deceased must execute this affidavit in an Estate Proceeding with the Supreme Court of Yukon.

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[name of applicant] _______________ # ___ 
[ date affidavit is sworn ] _________________ 	
 	
Form 72 (Rule 64 (2) )              S.C. No._________ 	
 	
SUPREME COURT OF YUKON 	
 
 	
ESTATE OF ______________, Deceased 	
  
 	
AFFIDAVIT OF EXECUTOR 	
 
 	
I, [name, address and occupation of applicant ] ___________________________ 
____________________________________ MAKE OATH (OR SOLEMNLY 
AFFIRM) AND SAY THAT: 
 
1. __________________________, late of [ street address and city] __________ 
__________________________ in Yukon, [ occupation] __________________ 
died on the _____ day of _______________, 20__, at _________________ in \
Yukon.  Attached as Exhibit ____ is a  copy of the Certificate of Death. 
 
2. The deceased’s original last will dated the _____ day of ___________, _____ 
is attached as Exhibit ____ [ include codicils as separate exhibits if necessary ]. 
 
3. I am the executor named in the will  and my relationship to the deceased is 
______________________.  My appointment has not been revoked under the 
Wills Act by reason of a decree of judicial separation, divorce, or nullity granted 
after the date of the will in respect of a marriage of the deceased.  [ If any 
executors named in the will are not applying, explain why. ] 
 
4. To the best of my knowledge the deceased did/did not marry or remarry\
 after 
the date of the will. 
 
5. To the best of my knowledge the will is/is not witnessed by a person or their 
then spouse to whom, a beneficial devis e, bequest or other disposition or 
appointment is given or made. 
 
6. I have made a diligent search and inquiry to ascertain the assets and\
 liabilities 
of the deceased. 
 
7. The Statement of Assets, Liabilities  and Distribution attached as Exhibit ____ 
discloses the assets and liabilities of the  deceased, irrespective of their nature, 
location or value, which pass to the deceased’s personal representative, together 
with the names and addresses of the benefic iaries, their relationship to the 
deceased and the property passing to them.

8. I will promptly disclose to the court the existence of any asset or liability which 
has not been disclosed in Exhibit ____ when I learn of it. 
 
9. I will administer according to law all of the estate which by law dev\
olves to and 
vests in me, the personal representativ e of the deceased, and I will provide a true 
and perfect inventory of the estate and  render a just and true account thereof 
whenever required by law to do so. 
 
 
SWORN (OR AFFIRMED) before  
me at ___________________ , in 
_____________________ on this 
___ day of ____________, 20 __ 
__________________________                        ____________________ 
A Notary Public in and for the      Executor 
Yukon Territory

ESTATE OF ______________, Deceased 	
 	
STATEMENT OF ASSETS, LIABILITIES AND DISTRIBUTION 	
 	
Part I 
REAL PROPERTY (including mortgages 
and vendors and purchasers interests in 
agreements for sale) 	
 
Within or Without 
Yukon 	
 
Value at Death 	
 	 	 	
 	 	 	
                                  Total Real Property	 	$ 	
Part II 
PERSONAL PROPERTY (all assets 
except real property) 	
 
Within or Without 
Yukon  	
 
Value at Death 	
 	 	 	
 	 	 	
                           Total Personal Property	 	$ 	
 	 	 	
SAFETY DEPOSIT BOX No. and 
Location 	 	 	
TOTAL GROSS VALUE OF ESTATE 	
 	 
$ 	
Part III  
DEBTS AND LIABILITIES 	
 
Paid or Unpaid 	
 
 	
 	 	 	
 	 	 	
                        Total Debts and Liabilities	 	$ 	
 
TOTAL NET VALUE OF ESTATE 
 	
 	 
$ 	
Part IV  
DISTRIBUTION OF ESTATE 	
 	 	
Name 	Relationship 	Property Passing 	
 	 	 	
 	 	 	
 	 	 	
 
This is Exhibit ____ referred to in the affidavit 
of __________________ made before me 
at __________________ this ____ day of 
________________, 20__. 
 
____________________________________ 
A Notary Public in and for the Yukon Territory
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