Schedule 3

THIRD SCHEDULE

Section 14(1)

FORM OF REGISTER

Satisfaction entered.

No.

By whom given (or

against whom process

issued.)

To whom or in whose

favour given.

Date of instrument.

Date of original registration.

Date of registration of declaration of renewal.

Date of registration of declaration of transfer.

To whom transferred.

Name.

Residence.

Occupation.

Name.

Residence.

Occupation.

Name.

Residence.

Occupation.