Schedule A.

Mortgage.

This Deed made the___day of___187___Between__who and whose heirs, executors, administrators, and assigns, unless where the context requires a different construction, is and are hereinafter referred to and included in the term "the Mortgagor" of the one part, and___the Trustees of The Wellington and Hutt Building Society, 1875., of the other part: Whereas the said___being a member of the above Society, has taken up and realised___share in the said Society numbered___Now This Deed Witnesseth that in consideration of the sum of £___lent by the said Trustees to the Mortgagor, the receipt whereof is hereby acknowledged. The Mortgagor hereby conveys and assures by way of mortgage unto the said Trustees, their heirs and assigns, All the piece of land particularly described in the Schedule hereto: Together with the appurtenances as a security for the payment by the Mortgagor unto the Trustees or Trustee for the time being of the said Society, and their or his assigns of the subscriptions, redemption-moneys, and other sums of money which by the rules of the said Society (a copy whereof was deposited with the Registrar of Joint Stock Companies, pursuant to the Building and Laud Societies' Act, 1866., on the___are made payable in respect of the said realized shares and of property held by the said Society as security and for the observance of the said Rules, which it is declared shall be deemed and taken to be incorporated in and forming part of these presents as fully and effectually as if the said Rules were set forth fully and in words at length. And the Mortgagor declares that in the event of the lands and premises hereby mortgaged, or any part thereof, being sold on behalf of the Society, no purchaser at any such sale, or his representative, shall be answerable for the loss, mis-application or non-application of the purchase-money, nor shall he or they be concerned to enquire into the fact of any default having been made, or as to the necessity or propriety of any such sale, or be affected with notice that any such sale is unnecessary or improper. (Here insert special covenants, if any.) In Witness, &c.

B.

Transfer of Share or Shares.

I,____one of the members of The Wellington and Hutt Building Society, 1875., in consideration of £____paid to me by and also in consideration of____paid by the said____to the funds of the said Society, being a fee payable thereto, according to the Rules of the said Society, do hereby assign and transfer to the said___executors, administrators, and assigns____share, subject to the payments and regulations prescribed by the Rules aforesaid; and I the said___do hereby agree to accept the said share, subject to the same payments, rules, and regulations.

As witness our hands, the___day of___ 18

C.

I,___of___hereby sell and Assign to___the Trustees of The Wellington and Hutt Building Society, 1875., of Wellington, their successors and assigns, all my___share in the said Society, as a security for the payment of the sum of___to the said Trustees, their successors or assigns, and interest thereon at the rate of___ per centum per annm, payable by equal monthly instalments on the first Tuesday in every month, and also all payments to become due to the said Society in respect of such share, with full power for the said Trustees, their successors or assigns, in default of payment of any instalment of interest or money to become due in respect of any such share to sell the same after thirty days shall have elapsed from the time of any such default, and to retain the proceeds of any such sale or sales in payment of all expenses incidental thereto, and then in full discharge of all moneys due to the said Society, and to pay the balance, if any, to me the said.

In witness whereof, I, the said___have hereunto subscribed my name, this day___18

D.

Receipt.

Receipt or acknowledgment to be endorsed upon Mortgages by virtue of an Act of the General Assembly of Sew Zealand, intituled "The Building and Land Societies' Act, 1866.."

We, the undersigned, being the Trustees of the within-mentioned Society, do hereby acknowledge to have received of and from the within named Mortgagor, his or her heirs, executors, administrators, or assigns, all moneys intended to be secured by the within-written deed.

As witness our hands.

Dated the___day of___18

Form of Proxy.

I hereby appoint___my proxy, to vote for me and in my name at a meeting of the members of The Wellington and Hutt Building Society, 1875., to be holden on the___and at any adjournment of such meeting.