Schedule (A.)

Form of Grant of Annuity.

We, the New Zealand Company, incorporated by Royal Letters Patent bearing date at Westminster the twelfth day of February, in the fourth year of the reign of Her Majesty Queen Victoria, and by virtue of the same Letters Patent and of an Act of Parliament passed in the____year of the reign of Her said Majesty, intituled "An Act to grant certain powers to the New Zealand Company," and by virtue of every other power enabling us in this behalf, in consideration of the sum of ￡____lent and advanced by____of,____for the purposes of the said Company, do hereby grant unto____the said one annuity or yearly sum of____out of the rents and profits accruing to the said Company, which annuity or yearly sum of____shall be paid to the said____, his executors, administrators, and assigns, during the natural life of____, by equal half-yearly payments, upon the____day of____, and____day of____, in every year during the natural life of the said____, the first payment thereof to be made on the____day of____next ensuing the date hereof. In witness whereof the said Company have hereunto fixed their Corporate Seal, this____day of____in the year