STATUTORY CHARGE BY WAY OF LEGAL MORTGAGE

THIS LEGAL CHARGE MADE by way of Statutory Mortgage the…………………………….day of ………………………20……………………… between A. of [etc.] of the one part and M. of of...............................( Address) of the other part.

This Charge witnesses that:

In consideration of the sum of N………………….. now paid to A. by M. of which sum A. hereby acknowledges the receipt A. as mortgagor and as beneficial Owner hereby charges by way of legal mortgage All That [etc.] with the payment to M. on the

…………………….day of……………………..20……………………, of the principal sum N…………………………. as the mortgage money with interest thereon at the rate of …………………………..percent/per annum.

IN WITNESS OF WHICH THE PARTIES HAVE EXECUTED THIS INSTRUMENT OF TRANSFER IN THE MANNER BELOW THE DAY AND YEAR FIRST ABOVE WRITTEN

SIGNED SEALED AND DELIVERED _____________________

By the within named Mortgagor

In the Presence of:

Name:

Address:

Occupation:

Signature:

SIGNED SEALED AND DELIVERED _____________________

By the within named Mortgagee

In the Presence of:

Name:

Address:

Occupation:

Signature:

Note: variation in this and subsequent forms in this schedule to be made, if required, for leasehold land or for giving effect to special arrangements. M. will be in the same position as if the charge had been effected by a demise of freehold or a sub-demise of leaseholds.