A Memorial to be registered of an Indenture bearing date the day of 18 , made between A.B. of, & c. of the one part, and C.D. of, & c. of the other part.

[In the case of a transfer or devolution of any gale or lease by Will or descent, or in any other manner than by a deed requiring registration under this Act, here recite the circumstances under which such unregistered transfer or devolution took place].

For the considerations therein mentioned, [transcribe Parcels], with their rights and apurtenances, were conveyed [or assigned] unto and to the use of the said C.D. his heirs and assigns [or unto the said C.D.,his executors, administrators, and assigns].

[In case of a Mortgage], “by way of Mortgage.”

Which said Indenture as to the execution thereof by the said A.B. and C.D. is witnessed by,

W.Z. of, &c.