Declaration Of Satisfaction In Full Or In Part Companies Form No 403a

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M
403a
COMPANIES FORM No. 403a
Declaration of satisfaction
in full or in part
of mortgage or charge
CHFP001
Pursuant to section 403(1) of the Companies Act 1985
Please do not
write in
this margin
To the Registrar of Companies
For official use
Company number
Please complete
(Address overleaf)
legibly, preferably
in black type, or
bold block lettering
Name of company
* insert full name
*
of company
I, ___________________________________________________________________________________
of __________________________________________________________________________________
[a director][the secretary][the administrator][the administrative receiver]† of the above company, do
† delete as
appropriate
solemnly and sincerely declare that the debt for which the charge described below was given has been
# insert a description
paid or satisfied in [full][part]†
of the instrument(s)
creating or
Date and description of charge# __________________________________________________________
evidencing the
charge, eg
Date of registrationø ___________________________________________________________________
‘Mortgage’,
‘Charge’,
Name and address of [chargee][trustee for the debenture holders]†_______________________________
‘Debenture’ etc
_____________________________________________________________________________________
ø the date of
registration may be
Short particulars of property charged
confirmed from the
certificate
§____________________________________________________________________________________
_____________________________________________________________________________________
§ insert brief details
And I make this solemn declaration conscientiously believing the same to be true and by virtue of the
of property
provisions of the Statutory Declarations Act 1835.
Declared at ___________________________________
Declarant to sign below
_____________________________________________
Day
Month
Year
on
before me ____________________________________
A Commissioner for Oaths or Notary Public or Justice of
the Peace or a Solicitor having the powers conferred on a
Commissioner for Oaths.
Presentor’s name address and
For official Use
reference (if any):
Mortgage Section
Post room
JFL0076a / Rev 5.3 10/99

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