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Life Annuities Act 1808

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This is the original version (as it was originally enacted).

Schedule AFORM of the DECLARATION to be signed by Persons desirous of purchasing Life Annuities for themselves, or on Behalf of others

I A. B. of ________________ do hereby declare to the Commissioners for the Reduction of the National Debt, That I am desirous on my own Account, [or, on the Behalf of C. D. ________________ of ________________] to transfer to the said Commissioners 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 ________________ Years, and G.H. ________________ of ________________ now of the Age of ________________ Years] to be the Persons on the Continuance of whole 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 ________________.

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