Form 33.12

Form of book to be kept by the Accountant of Court under section 4 of the Court of Session Consignations (Scotland) Act 1895

No.	Date of Consignation	By whom and Cause in which Consignation made	Office mark	Bank	Date of Lodging in Bank	Sum Consigned	Deposits withdrawn from Bank	Signature of Persons receiving Payment	Date of Warrant

Principal Interest

Total	Date of Payment