Application to Purchase Stock other than by Public Tender.
________
To the Registrar of Commonwealth
Government Inscribed Stock at
I/We beg to apply for pounds of Commonwealth Government Inscribed Stock, and herewith tender the sum of pounds shillings and pence in payment for the same, viz :—
£
Amount of Stock purchased … … … … … .
Amount of premium … … … … … … … . .
Accrued interest … … … … … … … … …
Total … …
£
The Stock is to be inscribed in the names given below:—
*If the stock is to be inscribed in the name of a Company, such name .must be stated in full, and if incorporated by Act of Parliament, the number of the Act must be given. A broker or agent may sign this form.
Stock can only be inscribed in multiples of £10 with a minimum of £100.
•The office of the Registrar is at the Commonwealth Bank of Australia in each State capital except Melbourne, whore his office is at the Commonwealth Treasury, and this form should be addressed to the Registrar at the place in which the stock is to be inscribed.
<table cellspacing="0" cellpadding="0" style="width:808.05pt; border-collapse:collapse"><tbody><tr style="height:14.2pt"><td style="width:133.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Form 3.</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Regulation 8</span></p></td><td colspan="3" style="width:117.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:135.1pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Book No.</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Receipt No.</span></p></td><td style="width:99.7pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Form 3.</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Regulation 8</span></p></td><td colspan="3" style="width:117.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:140.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Book No.</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Receipt No.</span></p></td></tr><tr style="height:69.15pt"><td colspan="5" style="width:407.4pt; border-right:0.75pt dotted #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">COMMONWEALTH GOVERNMENT INSCRIBED STOCK.</span></p><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:11pt"><span style="font-family:'Times New Roman', serif; font-size:10pt">per cent. Stock maturing</span><span style="width:9.69pt; display:inline-block"> </span><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif">19</span></p><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:9pt"><span style="font-family:'Times New Roman', serif">_______</span></p><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:11pt"><span style="font-family:'Times New Roman', serif; font-variant:small-caps">Receipt for Purchase Money for Stock Sold other than by Public Tender.</span></p></td><td colspan="5" style="width:379.05pt; border-left:0.75pt dotted #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">COMMONWEALTH GOVERNMENT INSCRIBED STOCK.</span></p><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:11pt"><span style="font-family:'Times New Roman', serif; font-size:10pt">per cent. Stock maturing</span><span style="width:9.69pt; display:inline-block"> </span><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif">19</span></p><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:9pt"><span style="font-family:'Times New Roman', serif">_______</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:11pt"><span style="font-family:'Times New Roman', serif; font-variant:small-caps">Receipt for Purchase Money for Stock Sold other than by Public Tender.</span></p></td></tr><tr style="height:19.35pt"><td colspan="5" style="width:407.4pt; border-top:0.75pt solid #000000; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registry of Commonwealth Government Inscribed Stock at</span></p></td><td colspan="5" style="width:379.05pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registry of Commonwealth Government Inscribed Stock at</span></p></td></tr><tr style="height:20.85pt"><td colspan="2" style="width:145.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:88.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date</span></p></td><td colspan="2" style="width:152.2pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">191</span></p></td><td colspan="2" style="width:130.95pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:81.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date</span></p></td><td colspan="2" style="width:145.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">191</span></p></td></tr><tr style="height:69.15pt"><td colspan="2" style="width:145.2pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">R</span><span style="font-family:'Times New Roman', serif; font-variant:small-caps">eceived</span><span style="font-family:'Times New Roman', serif"> from</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">the sum of</span></p><p style="margin-top:3pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">shillings</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">for purchase of Commonwealth</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">as under, to be inscribed in the</span></p></td><td style="width:88.4pt; height:69.15pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:middle; -moz-transform:rotate(180deg); -ms-transform:rotate(180deg); overflow:hidden; transform:rotate(180deg); -webkit-transform:rotate(180deg)"><div style="height:69.15pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; overflow:hidden"><p style="margin-top:3pt; margin-right:5.65pt; margin-left:5.65pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">This document is valueless either for purposes of transfer or for negotiation.</span></p></div></td><td colspan="2" style="width:152.2pt; border-right:0.75pt dotted #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:3pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">pounds</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">and </span><span style="width:19.06pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif">pence,</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Government Inscribed Stock,</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">name of</span></p></td><td colspan="2" style="width:130.95pt; border-right:0.75pt solid #000000; border-left:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">R</span><span style="font-family:'Times New Roman', serif; font-variant:small-caps">eceived</span><span style="font-family:'Times New Roman', serif"> from</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">the sum of</span></p><p style="margin-top:3pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">shillings</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">for purchase of Commonwealth</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">as under, to be inscribed in the</span></p></td><td style="width:81.35pt; height:69.15pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:middle; -moz-transform:rotate(180deg); -ms-transform:rotate(180deg); overflow:hidden; transform:rotate(180deg); -webkit-transform:rotate(180deg)"><div style="height:69.15pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; overflow:hidden"><p style="margin-top:3pt; margin-right:5.65pt; margin-left:5.65pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">This document is valueless either for purposes of transfer or for negotiation.</span></p></div></td><td colspan="2" style="width:145.15pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:3pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">pounds</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">and </span><span style="width:19.06pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif">pence,</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Government Inscribed Stock,</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">name of</span></p></td></tr><tr style="height:19.35pt"><td colspan="2" style="width:145.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:88.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="2" style="width:152.2pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">£</span></p></td><td colspan="3" style="width:223.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="2" style="width:145.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">£</span></p></td></tr><tr style="height:13.95pt"><td colspan="3" style="width:244.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-left:21.55pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Amount of Stock purchased…………………………</span></p></td><td colspan="2" style="width:152.2pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="3" style="width:223.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; margin-left:8.5pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Amount of Stock purchased…………………………</span></p></td><td colspan="2" style="width:145.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:13.45pt"><td colspan="3" style="width:244.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-left:21.55pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Amount of premium…………………………………</span></p></td><td colspan="2" style="width:152.2pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="3" style="width:223.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; margin-left:8.5pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Amount of premium…………………………………</span></p></td><td colspan="2" style="width:145.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:20.75pt"><td colspan="3" style="width:244.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-left:21.55pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Accrued interest……………………………………..</span></p></td><td colspan="2" style="width:152.2pt; border-right:0.75pt dotted #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="3" style="width:223.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; margin-left:8.5pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Accrued interest……………………………………..</span></p></td><td colspan="2" style="width:145.15pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:20.9pt"><td colspan="3" style="width:244.4pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; margin-left:42.55pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Total amount paid……………………………..</span></p></td><td colspan="2" style="width:152.2pt; border-top:0.75pt solid #000000; border-right:0.75pt dotted #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">£</span></p></td><td colspan="3" style="width:223.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; margin-left:19.85pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Total amount paid……………………………..</span></p></td><td colspan="2" style="width:145.15pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">£</span></p></td></tr><tr style="height:0pt"><td style="width:144.1pt"></td><td style="width:11.9pt"></td><td style="width:99.2pt"></td><td style="width:17.1pt"></td><td style="width:145.9pt"></td><td style="width:110.5pt"></td><td style="width:31.25pt"></td><td style="width:92.15pt"></td><td style="width:4.8pt"></td><td style="width:151.15pt"></td></tr></tbody></table>
Registrar.
[To be printed on back of Form 3.]
Interest is due on 15th June and 15th December in each year.
Unless otherwise instructed, the Registrar will forward by post an interest warrant to the registered address of the owner or of the owner whose name is first inscribed in a joint account on each due date. If the warrant is not received on the correct day, notice should be sent to the Registrar without delay.
If requested in the prescribed form, the Registrar will pay the interest to a Banking Account (except a Savings Bank account) or to another person.
Any change of address of the owner of Stock or of the person to whom warrants are sent should be notified at once to the Registrar. When any such notification (which should state the name and amount of the stock) reaches the Registrar less than three clear days before the next interest is due, the Registrar cannot undertake to record it until after the payment of such next interest.
Upon application to the Registrar, stock may be exchanged for Treasury bonds or inscribed at another Registry upon payment of the prescribed fee. Stock can only be inscribed in multiples of £10 with a minimum of £100.
Form 4.
Regulation 8.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent. maturing , 19
________
Daily Return of Stock Sold other than by Public Tender.
________
Registry of Commonwealth Government Inscribed Stock at
Memo.
191 .
The Secretary to the Treasury, Melbourne.
I have to inform you that payment has been made this day for the purchase of pounds of Commonwealth Government Inscribed Stock, and that the amount as under has been paid into the Commonwealth Public Account at the Commonwealth Bank.
The particulars relating to the purchase are as follow:—
Note.—The office of the Registrar of Commonwealth Government Inscribed Stock is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury. Applications for forms and other communications should be addressed to the Registrar at the place in which the stock is inscribcd.
___________
Form 8.
Regulation 16.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing , 19 .
__________
Notification of Alteration of Name on Marriage.
__________
Registry of Commonwealth Government Inscribed Stock at
Memo.
191
I have to inform you that in accordance with your application of 191 , the stock owned by you has, in consequence of your marriage, been altered in the Stock Ledger from the name of
Note.—The office of the Registrar of Commonwealth Government Inscribed Stock is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury. Applications for forms and other communications should be addressed to the Registrar at the place in which the stock is inscribed.
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td style="width:249.75pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:112.35pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Form 13.</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Regulation 22.</span></p></td><td colspan="3" style="width:181.05pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:181.05pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr><td style="width:249.75pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="5" style="width:496.05pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">COMMONWEALTH GOVERNMENT INSCRIBED STOCK.</span></p><p style="text-align:center; widows:2; orphans:2; font-size:11pt"><span style="font-family:'Times New Roman', serif; font-size:10pt">per cent., maturing</span><span style="width:32.47pt; display:inline-block"> </span><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif">19</span><span style="font-family:'Times New Roman', serif"> </span><span style="font-family:'Times New Roman', serif">.</span></p></td></tr><tr><td style="width:249.75pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">No.</span></p><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">S</span><span style="font-family:'Times New Roman', serif; font-variant:small-caps">tock Certificate</span></p></td><td style="width:112.35pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">No.</span></p></td><td colspan="3" style="width:181.05pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif; font-variant:small-caps">Stock Certificate</span><span style="font-family:'Times New Roman', serif">.</span></p></td><td style="width:181.05pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:28.55pt"><td style="width:249.75pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Stock £</span></p></td><td colspan="2" style="width:180.6pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td rowspan="3" style="width:45.9pt; height:28.55pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; padding-right:5.4pt; padding-left:5.4pt; vertical-align:middle; -moz-transform:rotate(180deg); -ms-transform:rotate(180deg); overflow:hidden; transform:rotate(180deg); -webkit-transform:rotate(180deg)"><div style="height:28.55pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; overflow:hidden"><p style="margin-top:12pt; margin-right:5.65pt; margin-left:5.65pt; text-indent:8.5pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">This Certificate is valueless for purposes of transfer or negotiation.</span></p></div></td><td colspan="2" style="width:247.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registry of Commonwealth Government</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Inscribed Stock at</span></p><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date</span></p></td></tr><tr><td style="width:249.75pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Inscribed in the name(s) of</span></p></td><td colspan="2" rowspan="2" style="width:180.6pt; border-right:0.75pt solid #000000; border-left:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:3pt; margin-left:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">This is to certify that</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Inscribed Stock is inscribed in the names of</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">as the owners of the said Stock.</span></p><p style="margin-top:3pt; text-indent:8.5pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">This Certificate is neither transferable nor ownership of the Stock at the Date hereof.</span></p><p style="margin-top:3pt; margin-left:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Dated this</span><span style="width:16.97pt; display:inline-block"> </span><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif">day of</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">and</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Folio</span></p></td><td colspan="2" rowspan="2" style="width:247.95pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="margin-top:6pt; widows:2; orphans:2; font-size:10pt"><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif">pounds of Commonwealth Government</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">negotiable, and is issued only as evidence of the</span></p><p style="margin-top:3pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">One thousand nine hundred</span></p><p style="margin-top:24pt; margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registrar.</span></p></td></tr><tr style="height:158.95pt"><td style="width:249.75pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:12pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date</span></p><p style="margin-top:12pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registrar’s Initials.</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Folio</span></p></td></tr><tr style="height:0pt"><td style="width:260.55pt"></td><td style="width:123.15pt"></td><td style="width:68.25pt"></td><td style="width:56.7pt"></td><td style="width:66.9pt"></td><td style="width:191.85pt"></td></tr></tbody></table>
[To be printed on back of Form 13.]
Interest is due on 15th June and 15th December in each year.
Unless otherwise instructed, the Registrar will forward by post an interest warrant to the registered address of the owner or, in the case of a joint account, to the owner whose name is first inscribed on each due date. If the warrant is not received on the correct day, notice should be sent to the Registrar without delay.
If requested on the prescribed form, the Registrar will pay the interest to a Banking Account (except a Savings Bank account) or to another person.
Any change of address of the owner of Stock or of the person to whom warrants are sent should be notified at once to the Registrar. When any such notification (which should contain the name and amount of the stock) reaches the Registrar less than three clear days before the next interest is due, the Registrar cannot undertake to record it until after the payment of such next interest.
Upon application to the Registrar, stock may be exchanged for Treasury bonds or inscribed at another Registry upon payment of the prescribed fee.
Stock can only be inscribed in multiples of £10 with a minimum of £100.
No. of Transfer.
Form 14.
Regulation 23.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing , 19 .
___________
Application for Transfer.
__________
To the Registrar of Commonwealth Government Inscribed Stock.
at
Please have the undermentioned Transfer of Commonwealth Government Inscribed Stock prepared, and I shall call at your office on next, the , 191 , to sign the necessary documents.
From
who resides at
and is a
pounds Commonwealth Government Inscribed Stock, to
Note.—The office of the Registrar is at the Commonwealth Bank of Australia at each State capital except Melbourne, where his office is at the Commonwealth Treasury. This form should be signed by the proprietor of the stock or his authorized agent and addressed to the Registrar at the place in which the Stock is inscribed.
Insert full names, addresses, and occupations.
Stock can only be inscribed in multiples of £10 with a minimum of £100.
______________
No.
Form 15.
Regulation 23.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing , 19 .
Registry of Commonwealth Government Inscribed Stock at
_______
Transfer and Acceptance.
_______
Stock Ledger Fol.Stock Ledger Fol.EnteredExaminedStock-holders identified by
I/We hereby assign and transfer unto his/theirexecutors, administrators, or assigns, the sum ofpounds Commonwealth Government Inscribed Stock, andall my/our property and interest in and right to the same,and to the interest accrued thereon.
As witness hand this day of 191 .
Witness—
I/We hereby accept the stock mentioned above transferred into my/our name.
The witness must be a Justice of the Peace, Commissioner for Affidavits, Commissioner for Declarations, Notary Public, or an officer of the Registry.
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td rowspan="6" style="width:86.75pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Transfer No.</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Transferor</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Folio</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Transferee</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Folio</span></p><p style="widows:2; orphans:2; font-size:11pt"><span style="font-family:'Times New Roman', serif; font-size:10pt">£</span><span style="width:31pt; display:inline-block"> </span><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif; font-size:10pt">of</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span><span style="font-family:'Times New Roman', serif">Stock</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registrar’s Initials.</span></p></td><td colspan="3" style="width:308.15pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Form 16</span><span style="font-family:'Times New Roman', serif; font-variant:small-caps">b</span><span style="font-family:'Times New Roman', serif">.</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Regulation 23.</span></p></td><td colspan="3" style="width:340.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Form 16</span><span style="font-family:'Times New Roman', serif; font-variant:small-caps">a</span><span style="font-family:'Times New Roman', serif">.</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Regulation 23.</span></p></td></tr><tr><td colspan="3" style="width:308.15pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">COMMONWEALTH GOVERNMENT INSCRIBED STOCK.</span></p><p style="text-align:center; widows:2; orphans:2; font-size:11pt"><span style="font-family:'Times New Roman', serif; font-size:10pt">per cent., maturing</span><span style="width:32.47pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif; font-size:10pt">19</span></p></td><td colspan="3" style="width:340.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">COMMONWEALTH GOVERNMENT INSCRIBED STOCK.</span></p><p style="text-align:center; widows:2; orphans:2; font-size:11pt"><span style="font-family:'Times New Roman', serif; font-size:10pt">per cent., maturing</span><span style="width:32.47pt; display:inline-block"> </span><span style="font-family:'Times New Roman', serif; font-size:10pt">19</span></p></td></tr><tr><td colspan="3" style="width:308.15pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">No.</span><span style="width:21.28pt; display:inline-block"> </span><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif; font-variant:small-caps">Notice to Transferee</span><span style="font-family:'Times New Roman', serif">.</span></p></td><td colspan="3" style="width:340.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">No.</span><span style="width:21.28pt; display:inline-block"> </span><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif; font-variant:small-caps">Notice to Transferor</span><span style="font-family:'Times New Roman', serif">.</span></p></td></tr><tr><td colspan="3" style="width:308.15pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registry of Commonwealth Government Inscribed Stock at</span></p></td><td colspan="3" style="width:340.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registry of Commonwealth Government Inscribed Stock at</span></p></td></tr><tr><td colspan="3" style="width:308.15pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date</span></p></td><td colspan="3" style="width:340.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date</span></p></td></tr><tr style="height:139.25pt"><td style="width:116.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="margin-left:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">To</span></p><p style="margin-top:6pt; margin-left:19.85pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">I beg to inform you</span></p><p style="margin-left:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">your acceptance of</span></p><p style="margin-left:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-left:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">of Stock has been in-</span></p><p style="margin-left:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-left:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-left:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-left:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Folio</span></p></td><td style="width:60.05pt; height:139.25pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:middle; -moz-transform:rotate(180deg); -ms-transform:rotate(180deg); overflow:hidden; transform:rotate(180deg); -webkit-transform:rotate(180deg)"><div style="height:139.25pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; overflow:hidden"><p style="margin-right:5.65pt; margin-left:5.65pt; text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">This document is valueless either for purposes of transfer or for negotiation.</span></p></div></td><td style="width:109.7pt; border-right:0.75pt dotted #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:6pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">that in accordance with</span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">19</span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">pounds</span></p><p style="margin-right:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">scribed in the name of</span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registrar.</span></p></td><td style="width:130.95pt; border-right:0.75pt solid #000000; border-left:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">To</span></p><p style="margin-top:6pt; margin-left:5.65pt; text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">I beg to inform you</span></p><p style="text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">your application of</span></p><p style="text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">of Stock has been in-</span></p><p style="text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Folio</span></p></td><td style="width:60.05pt; height:139.25pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:middle; -moz-transform:rotate(180deg); -ms-transform:rotate(180deg); overflow:hidden; transform:rotate(180deg); -webkit-transform:rotate(180deg)"><div style="height:139.25pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; overflow:hidden"><p style="margin-right:5.65pt; margin-left:5.65pt; text-indent:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">This document is valueless either for purposes of transfer or for negotiation.</span></p></div></td><td style="width:127.5pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:6pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">that in accordance with</span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">19</span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">pounds</span></p><p style="margin-right:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">scribed in the name of</span></p><p style="margin-right:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-right:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-right:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-right:14.2pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-right:14.2pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registrar.</span></p></td></tr></tbody></table>
[To be printed on back of Form 16B.]
Interest is due on 15th June and 15th December in each year.
Unless otherwise instructed, the Registrar will forward by post an interest warrant to the registered address of the owner or of the owner whose name is first inscribed in a joint account on each due date. If the warrant is not received on the correct day, notice should be sent to the Registrar without delay.
If requested on the prescribed form, the Registrar will pay the interest to a Banking Account (except a Savings Bank Account) or to another person.
Any change of address of the owner of Stock or of the person to whom warrants are sent should be notified at once to the Registrar. When any such notification (which should state the name and amount of the stock) reaches the Registrar less than three clear days before the next interest is due, the Registrar cannot undertake to record it until after the payment of such next interest.
Upon application to the Registrar, stock may be exchanged for Treasury bonds or inscribed at another Registry upon payment of the prescribed fee. Stock can only be inscribed in multiples of £10 with a minimum of £100.
Form 17.
Regulation 24.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing , 19 .
___________
Application for Transfer to Another Registry.
__________
To the Registrar of
Commonwealth Government Inscribed Stock at
I/We hereby request that pounds of stock standing in my/our names be transferred from the Registry at to the Registry at
Note.—The office of the Registrar of Commonwealth Government Inscribed Stock is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury. Applications for forms and other communications should be addressed to the Registrar at the place in which the stock is inscribed. Stock can only be inscribed in multiples of £10 with a minimum of £100.
………………………………………………………………………………………………………………………………
Specimen Signature of each Stock-owner.
Address.
Occupation.
Signatures verified.
Registrar.
______________
Form 18.
Regulation 25.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing , 19 .
___________
Advice to Registrar of Transfer from another Registry.
__________
Registry of Commonwealth Government Inscribed Stock at
191 .
To the Registrar of
Commonwealth Government Inscribed Stock at
I beg to inform you that on the application of
Name.
Address.
Occupation.
a specimen of whose signature is enclosed
pounds of stock has been debited in the Stock Ledger in this Registry, and it is requested that stock for the same amount be inscribed in those names in the Stock Ledger at the Registry at
A full half-year’s interest is payable by you on , 191 .
*Here insert particulars of new address, is any, and any special instructions as to payment of interest
This advice must be immediately acknowledged to the Registrar forwarding it.
Form 19.
Regulation 25.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing , 19 .
___________
Notification of Transfer to another Registry.
__________
Registry of Commonwealth Government Inscribed Stock at
191 .
Memo.
I beg to inform you that, as requested in your application of , steps have been taken to transfer pounds of stock from this Registry to the Registry at : This notification is valueless for purposes of transfer or negotiation.
Registrar.
___________
Form 20.
Regulation 27.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing , 19 .
___________
Request for Transmission.
__________
To the Registrar of Commonwealth Government Inscribed Stock at
Please have the undermentioned Transmission effected.
From who lately resided at but who is now*
pounds of Commonwealth Government Inscribed Stock to who resides at
and is a and claims by transmission.
I submit herewith the following documents in support of this claim in accordance with the requirement of the above Act:—
The witness must be a Justice of the Peace, Commissioner for Affidavits, Commissioner for Declarations or Notary Public, and when made and signed outside the Commonwealth Notary Public or British Consul or Vice-Consul.
Insert full names, address, and occupations.
The documents supporting this claim should be probate of will, letters of administration, or office copy of the adjudication or order of sequestration or vesting order.
Note.—The office of the Registrar of Commonwealth Government Inscribed Stock is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury. Applications for forms and other communications should be addressed to the Registrar at the place in which the stock is inscribed.
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td style="width:242.7pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="3" style="width:503.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Form 21.</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Regulation 27.</span></p></td></tr><tr><td style="width:242.7pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td colspan="3" style="width:503.1pt; border-left:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">COMMONWEALTH GOVERNMENT INSCRIBED STOCK.</span></p><p style="text-align:center; widows:2; orphans:2; font-size:11pt"><span style="font-family:'Times New Roman', serif; font-size:10pt">per cent., maturing</span><span style="width:32.47pt; display:inline-block"> </span><span style="width:36pt; display:inline-block"></span><span style="font-family:'Times New Roman', serif; font-size:10pt">19</span></p><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">___________</span></p><p style="margin-top:6pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif; font-variant:small-caps">Notification of Transmission.</span></p><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">___________</span></p></td></tr><tr style="height:147.15pt"><td style="width:242.7pt; border-right:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Transmission No.</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Transmitted—</span></p><p style="margin-left:36pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif; font-style:italic">From</span><span style="font-family:'Times New Roman', serif"> name of</span></p><p style="text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">fol.</span></p><p style="margin-left:36pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif; font-style:italic">To</span><span style="font-family:'Times New Roman', serif"> name of</span></p><p style="text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">fol.</span></p><p style="margin-top:40pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registrar’s Initials.</span></p></td><td style="width:216pt; border-right:0.75pt solid #000000; border-left:0.75pt dotted #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top"><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">To</span></p><p style="margin-top:3pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p><p style="margin-left:28.35pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">I beg to inform you that in</span></p><p style="text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">pounds</span></p></td><td style="width:60.05pt; height:147.15pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:middle; -moz-transform:rotate(180deg); -ms-transform:rotate(180deg); overflow:hidden; transform:rotate(180deg); -webkit-transform:rotate(180deg)"><div style="height:147.15pt; margin-right:auto; margin-left:auto; writing-mode:tb-rl; overflow:hidden"><p style="margin-right:5.65pt; margin-left:5.65pt; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">This document is valueless either for purposes of transfer or for negotiation.</span></p></div></td><td style="width:205.45pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top"><p style="text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registry of Commonwealth Government Inscribed Stock</span></p><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">at</span></p><p style="margin-top:3pt; text-align:center; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Date</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">accordance with your request of</span></p><p style="widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">of Stock has been inscribed in the name of</span></p><p style="margin-top:40pt; text-align:right; widows:2; orphans:2; font-size:10pt"><span style="font-family:'Times New Roman', serif">Registrar.</span></p></td></tr></tbody></table>
[To be printed on back of Form.]
Interest is due on 15th June and 15th December in each year.
Unless otherwise instructed, the Registrar will forward by post an interest warrant to the registered address of the owner or of the owner whose name is first inscribed in a joint account on each due date. If the warrant is not received on the correct day, notice should be sent to the Registrar without delay.
If requested on the prescribed form, the Registrar will pay the interest to a Banking account (except a Savings Bank account) or to another person.
Any change of address of the owner of stock or of the person to whom warrants are sent should be noti1icd at once to the Registrar. When any such notification (which should state the name and amount of the stock) reaches the Registrar less than three clear days before the next interest is due, the Registrar cannot undertake to record it until after the payment of such next interest.
Upon application to the Registrar, Stock may be exchanged for Treasury Bonds or inscribed at another Registry upon payment of the prescribed fee. Stock can only be inscribed in multiples of £10 with a minimum of £100.
Form 22.
Regulation 37.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing 19
________
Registry at
Statement of Interest payable for Half-year ending 19
Interest is due on 15th June and 15th December in each year. Unless otherwise instructed the Registrar will forward by post an interest warrant to the registered address of the owner on each due date. If the warrant is not received on the correct day. notice should be sent to the Registrar without delay.
If requested on the prescribed form the Registrar will pay the interest to a Banking account (except a Savings Bank account) or to any other person.
Any change of address of the owner of stock or of the person to whom warrants are sent should be notified at once to the Registrar. When any such notification (which should contain the name and amount of the stock) reaches the Registrar less than three clear days before the next interest is due, the Registrar cannot undertake to record it until after the payment of such next interest.
Upon application to the Registrar, stock may be exchanged for Treasury Bonds or inscribed at another Registry upon payment of the prescribed fee.
The office of the Registrar is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury.
Application for forms, and other communications, should be addressed to the Registrar at the place in which the stock is inscribed.
Form 24.
Regulation 38.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing 19
________
Request to Pay Interest to Bank Account.
________
To the Registrar of Commonwealth Government Inscribed Stock at
Please pay to the credit of at the
Bank, street, all interest as it becomes due on the amount of the above-mentioned Stock which now stands, or may hereafter stand, in my/our name.
Note.—The office of the Registrar is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury, and this form should be addressed to the Registrar at the place in which the stock is inscribed. Interest cannot be credited to a Savings Bank account.
_______________
Form 25.
Regulation 38.
Folio .
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing 19
___________
Notice of Payment of Interest to Bank Account.
___________
Registry of Commonwealth Government Inscribed Stock at
19
Memo.
I beg to inform you that I have this day paid £ to your credit at the
being interest on Commonwealth Government Inscribed Stock due 191
Note.—The office of the Registar of Commonwealth Government Inscribed Stock is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury. Applications for forms and other communications should be addressed to the Registrar at the place in which the stock is inscribed.
Form 26.
Regulation 39
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing 19
________
Request to Forward Interest Warrants to Another Person.
________
To the Registrar of Commonwealth Government Inscribed Stock at
Please forward all Interest Warrants as they become due on the amount of the above-mentioned stock, which now stands, or may hereafter stand, in my/our name to , a specimen of whose signature appears in the margin, and whose address is
Note.—ln the case of a joint account, this request must be signed by all the owners.
The office of the Registrar is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury, and this Form should be addressed to the Registrar at the place in which the stock is inscribed.
Any change of address of a stock-owner or of a person authorized to draw interest should be immediately notified to the registrar.
The witness must be a Justice of the Peace, Commissioner for Affidavits, Commissioner for Declarations, Notary Public or an officer of the Registry.
______________
Form 27.
Regulation 47.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing 19 .
__________
Application for the Issue of Bonds in Exchange for Stock.
__________
To the Registrar of Commonwealth Government Inscribed Stock at
I/We beg to request that pounds of the Commonwealth Government Inscribed Stock standing in my/our name(s) be exchanged for Treasury Bonds (of the denomination of £ ),to the total value of pounds
It is requested. that the Bonds be delivered *{at the Post Office/at
Note.—The office of the Registrar is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury, and this form should be addressed to the Registrar at the place in which the stock is inscribed.
Received Bonds as under:—
Signature
Form 28.
Regulation 49.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing 19 .
__________
Monthly Advice of Bonds Issued in Exchange for Stock.
Registry of Commonwealth Government Inscribed Stock at
191 .
Memo.
The Registrar of Commonwealth Government Inscribed Stock at Melbourne.
I have to inform you that during the month of Treasury bonds as under have been issued in exchange for stock totalling £
Nos. of Bonds.
Denomination.
Amount.
Registrar.
Noted and forwarded to the Auditor-General.
Registrar.
Melbourne, 19 .
____________
Form 29.
Regulation 52.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK
per cent., maturing 19 .
_________
Application for the Inscription of Stock in Exchange for Bonds.
_________
To the Registrar of Commonwealth Government Inscribed Stock at
I forward herewith Treasury Bonds No. each of the denomination of
and a total value of , with the request that they be exchanged for Commonwealth Government Inscribed Stock, to be inscribed in the name(s) of
Note.—The office of the Registrar is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury, and this form should be addressed to the Registrar at the place in which the stock is inscribed. Stock can only be inscribed in multiples of £10, with a minimum of £100.
Form 30.
Regulation 52.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing 19 .
___________
Notification of Inscription of Stock in Exchange for Bonds.
___________
Registry of Commonwealth Government Inscribed Stock at
Date
To
I beg to inform you that inof Commonwealthvalue of pounds has beenin exchange for Treasury Bonds for-
This document is valueless, either for purposes of transfer or for negotiation.
accordance with your applicationGovernment Inscribed Stock to theinscribed in the name(s) of—warded with your application.
Registrar.
_________
[To be printed on back of Form 30.]
Interest is due on 15th June and 15th December in each year.
Unless otherwise instructed, the Registrar will forward by post an interest warrant to the registered address of the owner or of the owner whose name is first inscribed in a joint account on each due date. If the warrant is not received on the correct day, notice should be sent to the Registrar without delay.
If requested on the prescribed form, the Registrar will pay the interest to a Banking Account (except a Savings Bank Account) or to another person.
Any change of address of the owner of Stock or of the person to whom warrants are sent should be notified at once to the Registrar. When any such notification (which should state the name and amount of the stock) reaches the Registrar less than three clear days before the next interest is due, the Registrar cannot undertake to record it until after the payment of such next interest.
Upon application to the Registrar, stock may be exchanged for Treasury bonds or inscribed at another Registry upon payment of the prescribed fee.
Form 31.
Regulation 53.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK.
per cent., maturing 19
_________
Monthly Advice of Stock Inscribed in Exchange for Bonds.
_________
Registry of Commonwealth Government Inscribed Stock at
19
Memo.
The Registrar of the Commonwealth Government Inscribed Stock,
Melbourne.
I have to inform you that during the month of Stock to the amount of £
has been inscribed in lieu of Treasury Bonds surrendered for a like amount, as stated below:—
The Bonds above enumerated, with interest coupons attached, have been cancelled and are forwarded herewith.
Registrar.
Noted and forwarded to the Auditor-General.
Registrar.
Melbourne, 191
C.6991.—3
Form 32.
Regulation 55.
TREASURY BOND AND COUPON.
Commonwealth of Australia.
__________
Treasury Bond.
__________
Transferable by Delivery.
__________
No
£
Issued under the Commonwealth Inscribed Stock Act 1911-1915.
__________
This Bond entitles the bearer to the payment at the offices of the Commonwealth Bank of Australia at Sydney, Melbourne, Brisbane, Adelaide, Perth, or Hobart, of pounds sterling on the day of , One thousand nine hundred and , together with interest thereon at the rate of pounds shillings per centum per annum from this date in accordance with attached coupons, and such sums are secured on the Consolidated Revenue of the Commonwealth of Australia.
Dated the day of 19
Secretary to the Treasury.
Registered at the Audit Office, Melbourne,
Auditor-General.
Commonwealth of Australia.Coupon No.% Treasury Bond.________Coupon for Six Months’ Interest on £ repayable19________Payable free of exchange at any branch of the Commonwealth Bank of Australia throughout the Commonwealth.
Bond No.Coupon due19£
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[To be printed on back of Bond.]
Commonwealth of Australia
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Treasury Bond.
£
Interest, 4½ per cent. per annum.
Maturing 15th December, 1925.
This Bond may be exchanged for Inscribed Stock upon application to the Registrar of Commonwealth Government Inscribed Stock, and payment of the prescribed fee. Stock can only be inscribed in multiples of £10 with a minimum of £100.
The Office of the Registrar is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury.
Note.—The office of the Registrar is at the Commonwealth Bank of Australia in each State capital except Melbourne, where his office is at the Commonwealth Treasury, and this form should be addressed to the Registrar at the place in which the stock is inscribed. Stock can only be inscribed in multiples of £10 with a minimum of £100.
Form 39.
Regulation 60.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK,
per cent., maturing 19 .
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Power of Attorney to Purchase Stock from an Existing Owner.
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Know all men by these presents that I/we
of do hereby constitute and appoint
my/our true and lawful attorney for me/us and in my/our name and on my/our behalf to purchase all or any part of pounds worth of Commonwealth Inscribed Stock, and for me/us and in my/our name and my/our behalf to sign all transfers, receipts, and other documents necessary and proper to be signed on occasion of the premises. In witness whereof I/we have hereunto set my/our hand and seal this day of One thousand nine hundred and
Image unavailable in extracted textSigned, sealed, and delivered by the said
Note.—Special attention is requested to the instructions for executing powers of attorney which are on the other side.
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[Back of Form.]
Instructions for Executing Powers of Attorney, which must be Strictly Observed.
The date must be inserted at time of execution in words, and not in figures.
Each execution must be attested by two credible witnesses, who must state their full addresses and occupations. (In the case of a wife she must give her husband's name, address, and occupation).
A wife is not a valid witness to any signature, if her husband's name appears either as stock-owner, attorney, or transferee; nor, in like circumstances, if the name of a wife appears, can a husband be admitted as a valid witness.
If clerks or servants are witnesses, they should give the name and address of their employers.
Where powers of attorney are executed by more than one person, the subscribed witness must insert in the attestation the name of the parties or party whose execution they attest, and if the parties do not all execute at the same time, and in the presence of the same witnesses the words "Signed by the said , in the presence of us," must be repeated in each attestation.
When a power of attorney is executed out of the Commonwealth, in addition to two witnesses, the signature must be attested by a British Minister, Consul, Vice-Consul, or other British authority, or by a Notary Public.
If it should be necessary for a stock-owner to execute a power of attorney by a mark, instead of by signing his name, each witness must be a person of known position, such as a Minister of Religion, Magistrate, Justice of the Peace, Solicitor, Bank Manager, or Medical Practitioner; and the witness must declare in writing that the document has been read over and fully explained to and understood by the stock-owner.
Any alteration, interlineation, or erasure made in a power of attorney must be particularly mentioned in the attestation subscribed by the witnesses, and it must be stated to have been done previous to execution.
Form 40.
Regulation 60.
COMMONWEALTH GOVERNMENT INSCRIBED STOCK
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Power of Attorney to Sell Stock.
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Know all men by these presents that I/we
of do hereby constitute and appoint
my/our true and lawful attorney for me/us and in my/our name and on my/our behalf to sell assign and transfer all or any part of pounds worth of Commonwealth Inscribed Stock now standing in my/our name(s), and for me/us and in my/our name(s) and my/our behalf to sign all transfers, receipts, and other documents necessary and proper to be signed on occasion of the premises. In witness whereof I/we have hereunto set my/our hand and seal this day of One thousand nine hundred and
Image unavailable in extracted textSigned, sealed, and delivered by the said
Note.—Special attention is requested to the instructions for executing powers of attorney, which are on the other side.
_______
[Back of Form.]
Instructions for Executing Powers of Attorney, which must be Strictly Observed.
The date must be inserted at time of execution in words, and not in figures.
Each execution must be attested by two credible witnesses, who must state their full addresses and occupations. (In the case of a wife she must give her husband's name, address, and occupation).
A wife is not a valid witness to any signature, if her husband's name appears either as stock-owner, attorney, or transferee; nor, in like circumstances, if the name of a wife appears, can a husband be admitted as a valid witness.
If clerks or servants are witnesses, they should give the name and address of their employers.
Where powers of attorney are executed by more than one person, the subscribed witness must insert in the attestation the name of the parties or party whose execution they attest, and if the parties do not all execute at the same time, and in the presence of the same witnesses the words "Signed by the said , in the presence of us," must be repeated in each attestation.
When a power of attorney is executed out of the Commonwealth, in addition to two witnesses, the signature must be attested by a British Minister, Consul, Vice-Consul, or other British authority, or by a Notary Public.
If it should be necessary for a stock-owner to execute a power of attorney by a mark, instead of by signing his name, each witness must be a person of known position, such as a Minister of Religion, Magistrate, Justice of the Peace, Solicitor, Bank Manager, or Medical Practitioner; and the witness must declare in writing that the document has been read over and fully explained to and understood by the stock-owner.
Any alteration, interlineation, or erasure made in a power of attorney must be particularly mentioned in the attestation subscribed by the witnesses, and it must be stated to have been done previous to execution.