Form 16.15-K 
 
Form of certificate of execution of charge for payment 
 
CERTIFICATE OF EXECUTION OF CHARGE FOR PAYMENT 
 
Date: (date of service) 
 
I, (name), Messenger-at-Arms, certify that, by virtue of the attached extract of a decree of the Court of Session at the instance of [A.B.] against [C.D.] [or of a document registered for execution in the Books of Council and Session], I charged [C.D.] to pay the sum[s] of money, principal, interest and expenses stated in the extract [or to implement  and perform the obligation[s] stated in the extract] [or both to pay the sum[s] of money, principal, interest and expenses] [add where there are other debtors in the extract, so far as incumbent upon him] to [A.B.] within [     ] days after the date of the charge.   

 
I did this- 
 
∗ by leaving the charge and a copy of the extract decree [or document registered for execution in the Books of Council and Session] with (name of person charged) at (place) on (date). 
 
∗ by leaving the charge and a copy of the extract decree [or document registered for execution in the Books of Council and Session] with (name and occupation of person with whom left) at (place) on (date).  (Specify that enquiry made and that reasonable grounds exist for believing that the person charged resides at the place but is not available.)   
 
∗ by depositing the charge and a copy of the extract decree [or document registered for execution in the Books of Council and Session] in (place) and (date).  (Specify that enquiry made and that reasonable grounds exist for believing that the person charged resides at the place but is not available.) 
 
∗ by leaving the charge and a copy of the extract decree [or document registered for execution in the Books of Council and Session] with (name and designation of person with whom left) at (place of business) on (date).  (Specify that enquiry made and that reasonable grounds exist for believing that the person charged carries on business at the place.) 
 
∗ by depositing the charge and a copy of the extract decree [or document registered for execution in the Books of Council and Session] at (place of business) on (date).  (Specify that enquiry made and that reasonable grounds exist for believing that the person charged carries on business at the place.) 
 
∗ by leaving the charge and a copy of the extract decree [or document registered for execution in the Books of Council and Session] at (registered office or place of business] on (date) in the hands of (name of person).   
 
∗ by leaving [or depositing] the charge and a copy of the extract decree [or document registered for execution in the Books of Council and Session] at (registered office, official address or place of business) on (date) in such a way that it was likely to come to the attention of (name of person charged).  (Specify how left.)   

I did this in the presence of (name, occupation and address of witness).   
 
      (Signed) 
 
      Messenger-at-Arms 
      (Address) 
 
      (Signed) 
 
      Witness 
 
* Delete where not applicable.