Excise Act 1901

SCHEDULES

SCHEDULE I  

AUSTRALIA
Security under the Excise Act 1901

By this security the Subscribers are, pursuant to the Excise Act 1901 , bound to the CEO (as defined in that Act) in the sum of - (here insert amount or mode of ascertaining amount intended to be paid in default of compliance with condition) - subject only to this condition that if - (here insert the condition of the security) - then this security shall be thereby discharged.*

Dated the day of 20     .


Name and Descriptions of Subscribers Signature of Subscribers Signature of Witnesses
     
     
     
     
     




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