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12 April 1991 pp 1664-66SCH12 Apr 1991 p. 1664-66
RTF Name: L:\swans2\WorkDir\Unclaimed Money Regulations 1991 - Schedule.rtf Place holder for Tables (if any):
Start Date: 07/18/2003 End Date: 01/01/2999
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Document Type : SCH Search Start Date: 37820
Index Entry : Unclaimed Money Regulations 1991\Schedule Search End Date: 401404
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Schedule 1

Forms

FORM 1

Address ..................................................................................................................

If the particulars of the person to whom or the place to which enquiries about the money should be directed are different from the particulars given above, please specify particulars of the different person and/or place
.................................................................................................................................
.................................................................................................................................

Name and (Last Known) Address of Owner of the Money	Amount of Money Held	Date When Holder Came Into Possession of the Money	Manner in Which Holder Came Into Possession of the Money

I certify that the above information is correct.

...................................................................
(Signature of holder or his/her legal personal representative (where the latter, name and address to be shown))

2. Amount of money paid .....................................................................................

3. Name of person to whom the payment was made ............................................
...........................................................................................................................

4. Address at which the money was handed over or to which it was sent ............
...........................................................................................................................

5. Date of the payment ..........................................................................................

I certify that the above information is correct.

...................................................................
(Signature of payer or his/her legal personal representative (where the latter, name and address to be shown))

2. Amount of payment ..........................................................................................

3. Name and (last known) address of owner of the money ..................................
...........................................................................................................................

4. Date when person making the payment came into possession of the money ...
..............................................................................................................................
..............................................................................................................................

5. Manner in which person making the payment came into possession of the money ........................................................................................................................
...........................................................................................................................

6. If applicable, details of unfulfilled obligations in respect of the money being paid ...................................................................................................................
...........................................................................................................................

7. If applicable, the amount of the balance of money to be paid to owner ...........
...........................................................................................................................

I certify that the above information is correct.

...................................................................
(Signature of payer or his/her legal personal representative (where the latter, name and address to be shown)).

- Unclaimed Money Regulations 1991 - Schedule.pdf