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SCHEDULE to which this Act refers.U.K.

Form of Receipt for Purchase Money where not paid into Court to be endorsed.U.K.

Received on the Day of the Date of the within-written Deed the Sum of , being the Consideration Money therein expressed to be paid to me,

A.B.

Witness, C.D.

Form of Grant of Annuity on the Surrender of an outstanding Estate to be charged upon the Premises surrendered.

This Indenture, made the Day of between A.B. of, &c. of the one Part, and [insert the Titles of the Possessor for the Time being of the Duchy of Cornwall as previously directed] of the other Part: Whereas [here insert such Recitals as may be requisite to show the Particulars of the Property proposed to be surrendered, and the Circumstances of the Tenure]: Now this Indenture witnesseth that, in consideration of the Annuity or yearly Rentcharge or Sum of intended to be hereby secured, and upon the Acceptance of [inserting the short descriptive Title of such Possessor], testified by the Seal of the Duchy of Cornwall being hereto affixed, the said A.B. doth by these Presents surrender and yield up unto [inserting the short descriptive Title as before] all and singular [here describe either by Reference or in Detail the Premises to be surrendered or granted], and all the Estate, Right, Title, Interest, Benefit, Property, Claim, and Demand whatsoever of him the said A.B. in, to, out of, or upon the same Premises, and every Part thereof, to the End and Intent that [describe shortly the Nature of the Estate or Interest to be surrendered] may merge in the Reversion, Freehold, and Inheritance of the Premises, and be thereby extinguished [here insert the necessary Covenants for Title]; and this Indenture further witnesseth, and in consideration of the Premises [here insert the short descriptive Title as before], pursuant to the Provision in this Behalf contained in “The Duchy of Cornwall Management Act 1863,” doth hereby give and grant unto the said A.B. One Annuity or clear yearly Rentcharge or Sum of of lawful Money of the United Kingdom, to be payable and paid for and during [here state the Period for which the Annuity is intended to be granted] and to be charged and chargeable upon and yearly issuing and payable out of the [ here describe by Reference or in Detail the Premises intended to be charged with the Annuity], to have, hold, receive, and take the said Annuity or yearly Rentcharge or Sum of unto the said A.B. and his Assigns for and during [state shortly the Period of Duration of the Annuity], to be paid and payable at the common Dining Hall of the Middle Temple in the City of London by Two equal half-yearly Payments, (that is to say,) on the Day of and the Day of in every Year, without any Deduction or Abatement in respect of Land Tax or any other Taxes, Charges, Assessments, or Impositions whatsoever (except the Property or Income Tax), the first half-yearly Payment of the said Annuity or yearly Rentcharge or Sum of to be made on the Day of 18 [and if the Annuity is granted for any Period depending on Life add, if the said shall be then living. And if the said Annuity or yearly Rentcharge shall determine before the said Day of or subsequently on any Day other than One of the said half-yearly Days of Payment, a proportionate Part thereof to be paid for the Period which shall have elapsed of the then current Half Year, and add a Covenant for Proof from Time to Time of the Existence of the Life on which the Annuity depends]. In witness whereof to these Presents the Seal of the Duchy of Cornwall hath been affixed and set, and the said A.B. hath affixed his Seal and subscribed his Name.