Panduan Mengisi

Borang DDA
FORM DDA
(Regulation 4A)
MALAYSIA
State of WILAYAH PERSEKUTUAN
District of KUALA LUMPUR
SMALL ESTATES (DISTRIBUTION) ACT 1955
DISTRIBUTION SUIT NO. (No. Guaman Pembahagian) OF 20..

In the Estate of ( Nama Simati ) ... deceased

Petition of (Nama Pemohon) of
..(Alamat Pemohon)..

LETTER OF CONSENT
I(Nama individu yang membuat persetujuan).IC No .(No. K/P)....
of.. (Alamat)
hereby solemnly affirmed that the above-mentioned deceased leaving estate as follows:

Immovable Property
Description and No. of Lot/Parcel/ Town/Village/Mukim Share
Title PT No. and District

Contoh - HS(M) 111 Lot 215 Kuala Lumpur 1/1

(If no ample space, please attach and sign the annexure)

Movable Property (e.g : cash, bank account, bond etc)

1. Simpanan Bank .. (No. A/K: )
2. Saham (No. Ahli: )
3. Proton Wira (No. Pendaftaran: )
(If no ample space, please attach and sign the annexure)

2. I am a person claiming to be interested in the estate as beneficiary of the above-

mentioned deceaseds estate and agree the estate may be distributed as follow:
*(a) consistent with Islamic law (faraid) (for Muslim) */ Distribution
Act 1958 (Act 300) (for non-Muslim)(Faraid/ Akta Pembahagian);
*(b) by consensus as in Schedules below (Nyatakan dalam jadual di sebelah);
*(c) surrender my whole share or interest in the estate to (Nyatakan nama
individu yang menerima bahagian) ....................
and I hereby declared that I shall have no rights or claims over the estate.
3. I hereby acknowledge that this Letter of Consent is not for the purpose of
appointing a representative during the hearing or appointing an administrator for the
above-mentioned estate of the deceased.
4. I hereby declare that the above-mentioned statement is true and fully
understand the implications of my consent given herewith and signed by me.

(Tandatangan/Cop jari Individu yang membuat persetujuan)

(Name of the person making the consent)
Before me,
Date :
(Tandatangan dan Cop Majistret/Pentadbir
Tanah/ Pesuruhjaya Sumpah atau Notori Awam)
(Magistrate, Land Administrator,
Commissioner for Oaths or Notary Public)
*Delete as appropriate.
 SCHEDULE I
MALAYSIA
State of

IMMOVABLE PROPERTY TO BE DISTRIBUTED

Title Town/ Name of Parties Share

No./Lot/Parcel/ Village/ Mukim
Estate of the and District
deceased

Contoh (Nama pihak-pihak yang (Nyatakan

HS(M) 111 Kuala Lumpur menerima/bersetuju dengan Bahagian/
Lot 215 cara muafakat) sama rata)

(Tandatangan/Cop jari Individu (Tandatangan dan Cop Majistret/Pentadbir

yang membuat persetujuan) Tanah/Pesuruhjaya Sumpah atau Notori Awam)
(Name of the person making consent) (Magistrate, Land Administrator,
Commissioner for Oaths or Notary Public)

SCHEDULE II
MALAYSIA
State of

MOVABLE PROPERTY TO BE DISTRIBUTED

Description Name of Parties

1. Simpanan Bank .. (No. A/K: ) (Nama pihak-pihak yang

menerima/bersetuju dengan cara
2. Saham (No. Ahli: )
muafakat)
3. Proton Wira (No. Pendaftaran: )

(Tandatangan/Cop jari Individu (Tandatangan dan Cop Majistret/Pentadbir

yang membuat persetujuan) Tanah/Pesuruhjaya Sumpah atau Notori Awam)
(Name of the person making consent) (Magistrate, Land Administrator,
Commissioner for Oaths or Notary Public)

Date : (Tarikh persetujuan dibuat)