Page:Life Annuities Act 1808 (ukpga1808142).pdf/32

1404 SCHEDULE. (F).

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.)

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 and Printers to the King's most Excellent Majesty.1808