ACCEPTANCE OF TRUST AS EXECUTOR
Estate No. ..........................................................

A. Applicant Details:
Email Address: yzerfontein@gmail.com
Full Names and Surname: Robert Baker
Residential Address: 17 Elizabeth Avenue, Pinelands
Business Address: 
Telephone Numbers: 0824795197
Identity Number: 
Relationship to Deceased: 

B. Deceased Details:
Full Names and Surname: 
Date of Birth: 
Date of Death: 
Identity Number: 
Income Tax Reference Number: 
District: 
Surviving Spouse: 

C. Declaration by Applicant:
Domicilium citandi et executandi: 
Bond Security Value: R
Agent Name and Address: 
Location: 
Signing Date: 

Applicant's Signature: ______________________