SCHEDULES

SCHEDULE A E+W

I [A.B.] of do swear that a bill of sale, bearing date the day of 18 [insert the date of the bill], and made between [insert the names and descriptions of the parties in the original bill of sale] and which said bill of sale [or, and a copy of which said bill of sale, as the case may be] was registered on the day of 18 [insert date of registration], is still a subsisting security.

Sworn, &c.

E+W