[V.B.-These particulars to be filled up from the certificate of the ship's registry.]

Names of Owners.

Particulars of Tonnage.

No. of Tons.

Deductions Allowed.

On account of space required for
propelling power

On account of spaces occupied by
seamen or apprentices, and ap-
propriated to their use, and kept
free from goods or stores of
every kind, not being the per-
sonal property of the crew
These spaces are the following,
viz.:

Account of Title of Owners.

Total deductions

No. of Tons.

Number of Sixty-fourth Shares Existing Mortgages or Certificates of Mortgage on the
held by each.
same Ship, or Shares included in this Certificate.

+

name

of

shares in the ship above attorney in

the undersigned, being, as above stated, owner described, as stated in the foregoing account of title, hereby appoint and on behalf to mortgage the said shares, and to execute and do all such deeds, matters, and things as may be necessary for carrying into effect the power hereby given. † declare that the amount of money to be raised by mortgage under this power shall not exceed and that the rate of interest at which the same is raised shall not exceed for every one hundred pounds by the year. † declare that the power of mortgaging hereby given may be exercised at + declare that the above power shall not be exercised after the expiration of months from the date hereof. In witness whereof t this

day of

I

Registrar of and the title thereto are scribed and affixed §

have hereunto subscribed

hereby certify that the above written particulars relating to the ship correct; and I further certify that the said owner ha duly subsignature and seal as appears above.

Registrar. "His" or "their."

Nota Bene.-"Persons who purchase under a certificate of sale or who advance money under a certificate of mortgage, when there is a previous mortgage or a previous certificate of sale or of mortgage endorsed on the certificate under which they purchase, do so at their own risk.

"Their title is liable to be defeated by the persons claiming under the incumbrance so endorsed."

On the back of this Form is the following Indorsement:-
The within-mentioned shares in the ship were this day mortgaged to
day of
one thousand eight hundred and
of T

[These particulars to be filled up from the certificate of the ship's registry.]

the undersigned, being owner of the ship above described, as stated in the fore

going account of title, hereby appoint

attorney in

name and on ‡

behalf to sell the above ship, and to execute and do all such deeds, matters, and things as may be necessary for carrying into effect the power hereby given. † declare that the ship shall not be sold for a less sum than + declare that the ship may be sold at || declare that the above power shall not be exercised after the expiration of the date hereof.

this

In witness whereof t day of

I

+ months from

name and affixed

seal

have hereunto subscribed one thousand eight hundred and registrar of the port of hereby certify that the above-written particulars relating to the ship § and to the title of the above-mentioned owner are correct; and I further certify that the said owner ha duly subscribed and affixed ¶ signature and seal as above appears. Registrar.

Nota Bene.-"Persons who purchase under a certificate of sale or who advance money under a certificate of mortgage, when there is a previous mortgage or a previous certificate of sale or of mortgage endorsed on the certificate under which they purchase, do so at their own risk.

"Their title is liable to be defeated by the persons claiming under the incumbrance so endorsed."

Every particular should be fully stated.

State the place or places.

+ "I" or "we." Ship's name.

(a) See M. S. Act, 1854, s. 79.

"My" or "our.” "His" or "their."

No. 18.-Revocation of Certificate of Mortgage or Sale (a).

[These particulars to be filled up from the certificate of the ship's registry.]

No. 19.-Transcript of Register for Transmission to Registrar-General of Shipping and Seamen (a).

Signal Letters (if any)

Official Number of Ship.

Name of Ship.

No., Date, and Port of Registry.

No., Date, and Port of previous Registry (if any).

Whether British or Whether a Sailing or Steam Ship; and Where Built. When Built.
Foreign Built. if a Steam Ship, how propelled.

Name and Address of Builders.

NOTE. If there are more owners than one, the Registrar is requested to distinguish the Managing Owner by the letters M. O. against his name.

N.B.-To be addressed in an Envelope to the Registrar-General of Shipping and Seamen, 82, Basinghall Street, London, E.C.

[On the back of this Form are two columns, headed respectively "References of Transactions" and

APPDX.

"Changes of Masters."]

(a) See M. S. Act, 1854, s. 94, and M. S. Act, 1872, s. 4.

5 C

No. 20.-Copy Transactions subsequent to Registry, for transmission to RegistrarGeneral of Shipping and Seamen (a).

N.B. To be addressed in an envelope to the Registrar-General of Shipping and Seamen, 82, Basinghall Street, London.

(a) See M. S. Act, 1854, s. 94, and M. S. Act, 1872, s. 4.