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1404
48o GEORGII III. Cap. 142.

SCHEDULE. (F).

FORM of the CERTIFICATE to be granted, by the said Officer, in order to enable the Receipt of the Annuity from Time to Time at the Bank, of England

I DO hereby certify to the Governor and Company of the Bank of England, That it appears by a Certificate and Affidavit produced to me, conformably to the Provisions of an Act, passed in the Forty-eighth Year of the Reign of His present Majesty, intituled, " An Act [here insert the Title of this Act] That A.B.   the Nominee [or, in case of Two Nominees, one of the Two Nominees] [or, the Survivor of the Two Nominees] described in the Certificate, No.   of the   Day of   granted for the Purpose of enabling the Transfer of   £.3 Per Centum Consolidated [or, Reduced] Bank Annuities, for the Purchase of a Life Annuity on the Life of the said   [or, on the Lives of the said  and   and the Life of the longer Liver of them] was living on the   Day of   on which Day a Half-yearly-Payment of the said Annuity became due.

Witness my Hand this   Day of  .


SCHEDULE (G.)

FORM of the CERTIFICATE to be granted by the said Officer, in order to enable the Receipt of One-fourth Part of an Annuity, upon the Death of a single or surviving Nominee.

I DO hereby certify to the Governor and Company of the Bank of England, That it appears by a Certificate and Affidavit produced to me, conformably to the Provisions of an Act, passed in the Forty-eighth Year of the Reign of His present Majesty, intituled, " An Act [here insert the Title of the Act] that A. B. the Nominee [or, in case of Two Nominees, the surviving Nominee] described in the Certificate, No.   of the   Day of   granted for the Purpose of enabling the Transfer of   £. 3 per Centum Consolidated [or, Reduced] Bank Annuities, for the Purchase of a Life Annuity on the Life of the said   [or, on the Life of the said   and   and the Life of the longer Liver of them] died on the   Day of  

Witness my Hand this   Day of  



LONDON: Printed by George Eyre and Andrew Strahan
Printers to the King's most Excellent Majesty.1808