Western Australian Consolidated Acts

CO-OPERATIVE AND PROVIDENT SOCIETIES ACT 1903 - SECOND SCHEDULE

[Section 32]

Form of receipt to be indorsed on mortgage or further charge

THE Society, Limited, hereby acknowledges to have received all moneys intended to be secured by the within ( or above) written deed.

Given under our hand this day of 20 .

Signatures of 2 or more Members of the Committee

{

Members of the Committee

Countersigned [ Signature of Secretary. ]

Secretary.