Schedule B.

To the Manager of the Manama (a Permanent Equitable Building and Investment Society.

Sir,

I propose to borrow from your Society the sum of ___ being the value of ___ Shares in the Society on the following security, viz.:—

Nature or description of security ___ (If town acre, state number, and street frontage and depth of land, or if country land, state number of acres, number of section, and district.)

What does the property consist of ___ Nature of buildings (if any) ___ Situation ___ Tenure ___ If leasehold, the amount of ground rent per annum ___ When and to whom payable ___ Is the property subject to a prior mortgage ___ Time for which advance is required ___ Interest when payable ___ If insured ___ Amount ___ In what office ___ Valuation survey fee ___ And I offer, on demand, to execute a mortgage of the above property to the Society in accordance with the Rules of the Society, and if from any cause I fail to complete the transaction, I undertake, on demand, to pay you the reasonable costs of investigating the title and preparing the necessary mortgage deed, in accordance with the said Rules.