Client Instruction Sheet- Letters of Administration Official Use OnlyLAC Number(Required) Officer Designation(Required)Legal OffierClient Information OfficerOfficer Full Name(Required) Email Address(Required) Office Location(Required)S01- LoftusS01/2- ThurstonS02- KimberlyS03- GordonS04- McGregorS05- Nasinu Ground FloorS05/2 Nasinu Level 1S06- NausoriS07- KorovouS08- NavuaS09- SigatokaS10- NadiS11- Lautoka Court HouseS11/2- Lautoka Marine DriveS12- BaS13- TavuaS14- RakirakiS15- LabasaS16- SavusavuS17- SeaqaqaS18- NabouwaluS19- TaveuniS20- LevukaS21- KeiyasiS22- VunidawaS23- KadavuS24- RotumaHome VisitationClient DetailsDate DD slash MM slash YYYY Time Hours : Minutes AM PM Preferred Language English iTaukei Hindustani Other LAC Client ID Number(Required) Matter ID(Required) Name(Required) First Last Location(Required)S01- LoftusS01/2- ThurstonS02- KimberlyS03- GordonS04- McGregorS05- Nasinu Ground FloorS05/2 Nasinu Level 1S06- NausoriS07- KorovouS08- NavuaS09- SigatokaS10- NadiS11- Lautoka Court HouseS11/2- Lautoka Marine DriveS12- BaS13- TavuaS14- RakirakiS15- LabasaS16- SavusavuS17- SeaqaqaS18- NabouwaluS19- TaveuniS20- LevukaS21- KeiyasiS22- VunidawaS23- KadavuS24- RotumaHome VisitationAddress (if Home Visitation) Street Address City State / Province / Region 1. Administrator(s) / Administratrix(s) DetailsName(Required) First Last Alias Date of Birth(Required) DD slash MM slash YYYY Was birth certificate provided ? Yes No Married ? Yes No Relationship with DeceasedWifeSonDaughterBrotherSisterOtherIf Others Resident of Fiji Yes No Address Street Address City State / Province / Region Are you currently employed ? Yes No Employer Details Occupation/ Job Tittle 2. Particular of DeceasedTtile Mr Ms Name First Last Address Street Address City State / Province / Region Resident of Fiji? Yes No Married? Yes No Date of Birth DD slash MM slash YYYY Children/All Living Place of Death Date of Death DD slash MM slash YYYY Children's BC Provided? Yes No How many Children? Death certificate provided? Yes No 3. Funeral ExpensesI estimate the total funeral expenses for the deceased to be?4. LiabilitiesList any debts or liabilities owed by deceasedFinancial InstituteItem DescriptionValue ($) Add Remove5. Deceased EstateList EstatePropertySituatedValue Add RemoveTotal Gross ValueTotal Net Value6. Particulars of SuretiesTitle Mr Ms Date of Birth DD slash MM slash YYYY Name First Last Address Street Address City State / Province / Region Are you currently employed ? Yes No Employer Details Occupation/ Job Tittle List of AssetsItemDescriptionValue Add RemoveList: Land, House, Monies or any other item.Any other sureties Yes No Additional suretiesTitle Mr Ms Date of Birth DD slash MM slash YYYY Name First Last Address Street Address City State / Province / Region Are you currently employed ? Yes No Employer Details Occupation/ Job Tittle List of AssetsItemDescriptionValue Add RemoveList: Land, House, Monies or any other item.Declaration on suretiesI .................................................................................... as stated above confirm the above information is true and correct to the best of our knowledge and consent to begin sureties for ........................................................in taking out a .................................. grant in the Estate of ....................... Surety 1 ID used: .......................................I .................................................................................... as stated above confirm the above information is true and correct to the best of our knowledge and consent to begin sureties for ........................................................in taking out a .................................. grant in the Estate of .......................I .............................................................................. as stated above confirm the above information is true and correct to the best of our knowledge and consent to begin sureties for ...............................in taking out a ...................... grant in the Estate of .................................. Surety 2 ID used: .......................................I .............................................................................. as stated above confirm the above information is true and correct to the best of our knowledge and consent to begin sureties for ...............................in taking out a ...................... grant in the Estate of ..................................7. Any other InstructionsAny further is instructionsAny further appointments/interview required? Yes No Date DD slash MM slash YYYY Time Hours : Minutes AM PM Officer's Signature(Required) Client's Signature(Required)
