APPENDIX I. (See supra page 23.) FORM OF SCRIP CERTIFICATE FOR DEBENTURE. PROVISIONAL SCRIP CERTIFICATE FOR DEBENTURE. Issue of 1000 debentures of £100 each bearing interest at 5 per cent. per annum. No. This is to certify that the bearer of this certificate is entitled, on due completion of the payments, hereinafter mentioned, to 10 debentures of the A B Company, Limited, for the sum of £100 each bearing interest at the rate of 5 per cent. per annum and that the sum of £100 is credited as having been paid thereon. The remaining instalments are payable at th................................. Bank ........................ London, in the amounts and at the times hereinafter mentioned, that is to say: £100 already credited as paid thereon as above; Interest will be payable on the amount already credited by this certificate and upon the future instalments, when paid, at the rate of £5 per cent. per annum half-yearly on th............................ of.. ......................................... ..of. .........................ach year. This certificate is issued on the express condition, that the further instalments be duly paid at the times above mentioned Appendix 1. Appen- and in default this certificate and the payments credited and dix I. made thereon will become liable to forfeiture without further notice. On this certificate together with the receipts for all the above instalments being lodged with the company on or after the this certificate will be exchanged ............................ for the debentures. APPENDIX II. FORMS PRESCRIBED BY THE BOARD OF TRADE. (See pp. 1-5.) FORM OF DECLARATION OF COMPLIANCE WITH PRO- Form I. VISIONS OF SECTION 1 (2) OF ACT (Form 41 of forms supplied at Somerset House). 66 COMPANIES' ACTS, 1862 TO 1900." A 5/- to be DECLARATION of Compliance with the requisitions of the Companies' Acts, made pursuant to S. 1 (2) of the Companies' Act, 1900 (63 and 64 Vict. Ch. 48) on behalf of a Company proposed to be registered as the Presented for Filing by Form I. (a) Here insert: do solemnly and sincerely declare that I am (a) "A Solicitor "of the High "Court engaged of the "in the forma- Limited, and That all the requisitions of the Com 66 tion." or panies' Acts in respect of matters precedent to the Secretary registration of the said Company and incidental 666 A director' "or "named in the "Articles of As- thereto have been complied with. And I make "sociation." this solemn Declaration conscientiously believing the same to be true and by virtue of the provisions of the "Statutory Declarations Act, 1835." |