Schedule 1 Form of claim for account of payment due

Schedule 1 Form of claim for account of payment due

(Clause 63)

(Rice Marketing Regulation 2015)

Rice Marketing Board

Address—

Name of claimant—

Address—

Nature of encumbrance—

Nature of commodity encumbered—

Date of delivery of commodity to Board—

Name of person whose commodity is encumbered—

Address—

Name of person having the benefit of the encumbrance—

Address—

Particulars of any loan secured by the encumbrance, including the period of the loan and the period and amounts of instalments payable under the loan—

Amount due and unpaid under encumbrance—

Date of registration of encumbrance—

[signature of claimant]