Schedule 5

# Schedule 5 Schedule 5 THIS is to certify that A.B., the wife of the within named W.B., came before me, A.B., a Judge of the Supreme Court of New South Wales—(*or* before me, C.D., Registrar-General of the Colony of New South Wales)—(*or* before me, E.F., a commissioner appointed by the Supreme Court of New South Wales for taking affidavits not resident within five miles of Sydney, and not being the person employed to prepare the within deed, nor being a party thereto) (*or as the case may be*)—and she being by me examined apart from her said husband, acknowledged that the within instrument was executed by her, and that she was acquainted with and understood the nature and effect thereof, and she declared that she had executed the same freely and voluntarily without menace, force, or coercion, either on the part of her husband or any other person. Witness my hand and seal at the day of 18 | C.D. | (L.S.) | Judge, Registrar, or Commissioner, as the case may be. N.B.—Where the acknowledgment is not by a married woman, it will extend only to the fact of execution, and that the party knew the nature and effect of the instrument, and the above form must be altered accordingly, and where the acknowledgment is taken before a Judge, the Registrar, or a commissioner, or other person, the above form must be adapted accordingly.