Succession (Scotland) Act 1964

Section 15.

SCHEDULE 1S Form of Docket

I, AB, being by virtue of the within confirmation [or certificate of confirmation] the executor on the estate of the deceased CD so far as specified in the confirmation [or certificate or inventory attached hereto] hereby nominate EF [design] as the person entitled—

(a) in [part] satisfaction of his claim to prior rights, as a surviving spouse, on the death of the deceased,

(b) in [part] satisfaction of his claim to legal rights on the death of the deceased,

(c) in [part] satisfaction of his share in the said estate,

(d) in [part] implement of a trust disposition and settlement, [or will, or as the case may be] of the deceased dated, and registered in the Books of Council and Session ,

to the following item of estate, that is to say, [short description] being number of the items of the estate specified in the said confirmation [or certificate or inventory].

[signature of AB]

[To be attested by two witnesses]