SCHEDULES to which this Act refers
SCHEDULE (A.)
I A.B of do herbey decalre to the Commissioners for the Reduction of the National Debt; That I am desirous on my own Account, [or, on Behalf of C.D. of ] to transfer to the said Comississoners the sum of £3. per centum Consolidated [or reduced] Bank Annuities. for the Purchase of a Life Annuity: And I do hereby nominate myself [or, C.D. of ] now of the Age of Years, to be the Person on the continuance of whose Life [or, in case of Two Nominees, myself, now of the Age of Years and E.F of now of the age of Years [or E.F. of now of the Age of v Years, and G.H. v of now of the Age of Years] to be the Persons on the Continuance of whose Lives and the Life of the longer liver of them] the said Annuity is to depend, and whose Age [or, respective Ages, as the case may be] is [or, are] certified and verified by the Certificates and Affidavits [or' Affidavits] now [or', which have been before] produced.
Witness my Hand, this Day of
