Form A
The...... Limited hereby acknowledges to have received all moneys intended to be secured by the [within (or above) written] [annexed] deed [and by a further charge dated etc or otherwise as required].
Dated this.... day of......
.............. Members of the Committee
.............. Secretary
Form B
The...... Limited hereby acknowledges that it has this.... day of...... received the sum of.... pounds representing all moneys intended to be secured by the [within (or above) written] [annexed] deed [and by a further charge dated etc or otherwise as required], the payment having been made by C.D. of...... and E. F. of......
.............. Members of the Committee
.............. Secretary
NOTE If the persons paying are not entitled to the equity of redemption but are paying the money out of a fund applicable to the discharge of the mortgage or other assurance, insert a statement to that effect.
A statement may also be inserted as to whether the receipt is or is not
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