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always to the like restrictions) to such person or persons as the person or persons beneficially named in the last preceding Indorsement shall from time to time declare to be entitled to receive the same; and it is hereby expressly covenanted and declared, that so far as relates to any Indorsement or Indorsements to be made at any time in respect of this Policy, the person or persons so from time to time beneficially named in the last preceding Indorsement, shall alone be deemed to be the holder or holders of the Policy, and be alone entitled to receive the sum or sums payable under the same.

FORM No. 25.

INDORSEMENT UPON A LIFE POLICY.

I, (or we,) the undersigned, the within-designated assured, (or the person or persons declared in the last preceding Indorsement to be alone entitled to the within-written Policy, and to alone receive the sum or sums assured thereunder,) do hereby grant and transfer all my (or our) right, title, estate, and property in the said policy unto of his (or her or their) heirs, executors, administrators, and assigns, absolutely, and do hereby appoint, without power of revocation on my (or our) part, the said his heirs, exe

cutors, administrators, and assigns, to alone receive all sum or sums of money from time to time payable under the said Policy. And I (or we) do furthermore declare, that I (or we) have now a good and lawful title to such policy, and have not, at any time prior to this transfer, assigned, conveyed, or in any way charged or encumbered this Policy to or for the benefit of any other person whatever. In witness whereof, I (or we) have hereunto set my (or our) hand, this day of 185-.

Witnesses to the Signature of the said

and of the delivery by him of the wi hin-written policy to the said

A. B.
C. D.

F

FORM No. 26.

LIFE GUARANTY, OR COUNTER ASSURANCE.

No.

MEMORANDUM.

The [Sceptre] Assurance Society hereby Guarantees, out of the funds of the said Society, to the Directors of the [English and Cambrian Assurance Society] the sum of

in part of that [Society's] risk to the extent

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the therein designated Assured: the stamp duty payable to Government in respect of such Assurance being first paid and accounted for by the said [English and Cambrian Assurance Society.]

The said Guaranty is from the

185-, to the

day of

day of

185—, both in

clusive; and so long thereafter as shall be expressed in the usual Renewal Receipt of the Society, and is subject to the Provisions of the Deed of Settlement, and to the Conditions of Life Assurance of the [Sceptre] Assurance Society.

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Given under the Hands of Three of the Directors and sealed with the Common Seal of the Society, this

day of

in the year of our Lord one thousand eight hundred and fifty

Signed in the

presence of

Examined

Entered

Directors.

(*.* A policy will be issued on payment of the stamp duty.)

FORM NO. 27.

FIRE GUARANTY, OR COUNTER ASSURANCE.

£

No. MEMORANDUM. That the [Sceptre] Assurance Society hereby Guarantees, out of the funds of the said society, to the Directors of the [Star] Assurance Company, the sum of

sterling, in part of that Company's risk to the extent of

upon property assured by them, under their policy, No.

and dated the

issued to and in the name of

day of

185-,

the therein designated Assured, the Duty payable to Government, in respect of such Assurance, being first paid and accounted for by the said [Star] Assurance Company.

The said Guaranty is from the 185-, to the

day of

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day of

185-, both inclusive,

and so long thereafter as shall be expressed in the usual Renewal Receipt of the Society, and is subject to the Provisions of the Deed of Settlement, and Conditions of Fire Assurance of the [Spectre] Assurance Society.

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(*.* It is not usual to stamp these Guaranties.)

FORM No. 28.

ASSIGNMENT OF A LIFE POLICY.

TO ALL TO WHOм these Presents shall come, I,

of

send greeting. WHEREAS by an instrument or Policy of Assurance numbered under the Hands of Three of the Directors of the Assurance Society, and bearing date on or about the one thousand eight hundred and

day of

-, in consideration of the premium or premiums therein mentioned, a sum of is assured to me, or my executors, administrators, or assigns, by the said society, and payable within [three calendar months] next after proof shall have been given, as therein mentioned, of

decease

subject nevertheless to certain conditions, restrictions, and agreements, in the said instrument or Policy mentioned. Now KNOW YE, that in consideration of the sum of of lawful money of Great Bribefore

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tain, to me paid by the execution of these presents, (the receipt whereof I do hereby acknowledge,) I have bargained, sold, assigned, transferred, and set over, and by these presents do bargain, sell, assign, transfer, and set over to the said hexecutors,

administrators, and assigns, all that the said instrument or Policy of Assurance, numbered, so effected as aforesaid, and all money which shall or may become due and payable thereon, or by virtue thereof; and all my right, title and interest therein and thereto, and all the benefit and advantage thereof, or to be had or derived therefrom. To have, hold, receive, take, and enjoy, the said instrument or Policy of Insurance, and all and singular the moneys and premises hereby assigned or intended so to be, to the said

hexecutors, administrators, and assigns, as and for hand their own proper money and effects forever (subject to the payment of the premium or premiums hereafter to become due and payable thereon). Together with all powers and remedies for recovering and receiving the money thereby assured, or which shall become due and payable under and by virtue of the said policy, as fully and effectually, to all intents and purposes, as I, my executors, or administrators, could do or have done, in case these presents had not been made. And with full power and authority to sue for and to give effectual receipts and other discharges for the same money, and every part thereof, without any further consent or concurrence by or on the part of me, my executors, administrators, or assigns. And for all or any of the purposes aforesaid, to use the

name or names, and act as the attorney or attorneys of me, my executors, or administrators. And I do hereby, for myself, my heirs, executors, and administrators, covenant with the said

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-h-executors, and administrators, that I now, at the time of the sealing and delivering of these presents, have in myself good right, full power, and lawful authority,' to assign and make over the said instrument or Policy of Assurance, and the money thereby secured, or which shall become due and payable thereon or by virtue thereof, unto the said

―h— executors, administrators, and assigns, according to the true intent and meaning of these presents, free and clear of all encumbrances, claims, and demands whatsoever (except the annual and other premiums hereafter to become payable thereon). And that the said instrument or Policy of Assurance has been duly obtained, and that the same now is in full force and effect, and not in anywise annulled, forfeited, or become void or voidable. And further, that I, my executors, or administrators, shall not nor will at any time or times hereafter, without the consent, in writing, of the said

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or the order, judgment, or decree of some court of law or equity, for that purpose first had and obtained, receive, release, acquit, or discharge, all or any part of the said instrument or Policy of Assurance, money, interest, and property hereby assigned, or otherwise assured or intended so to be; nor without such consent, order, judgment, or decree, revoke or countermand all or any of the powers and authorities hereinbefore contained and given to the said

-h-executors, administrators, or assigns. And that I, my executors, or administrators, shall not, nor will at any time or times hereafter, do or commit any act, deed, matter, or thing whatsoever, to vitiate, injure, forfeit, annul, or make void the said instrument or Policy of Assurance hereby assigned or intended so to be; but, on the contrary, shall and will at all times hereafter, observe, fulfil, and keep, all and singular the conditions, stipulations, and agreements mentioned and contained in the said instrument or Policy of Assurance, or therein referred to; and which, on the part and behalf of me, my executors, or administrators, are or ought to be observed and performed according to the true intent and meaning thereof respectively (excepting the future payments of the premium or premiums to become payable thereon as aforesaid.) And further,

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