Bills of Exchange Act 1882

FIRST SCHEDULEE+W+S+N.I.

Form of protest which may be used when the services of a notary cannot be obtained.

Know all men that I, A.B. [householder], of in the county of in the United Kingdom, at the request of C.D., there being no notary public available, did on the day of 188 at demand payment [or acceptance] of the bill of exchange hereunder written, from E.F., to which demand he made answer [state answer, if any] wherefore I now, in the presence of G.H. and J.K. do protest the said bill of exchange.

(Signed) A.B.

G.H. Witnesses.

J.K.

N.B.—The bill itself should be annexed, or a copy of the bill and all that is written thereon should be underwritten.