Excise Act 1901
Security under the Excise Act 1901
By this security the Subscribers are, pursuant to the Excise Act 1901 , bound to the CEO (as defined in that Act) in the sum of - (here insert amount or mode of ascertaining amount intended to be paid in default of compliance with condition) - subject only to this condition that if - (here insert the condition of the security) - then this security shall be thereby discharged.*
Dated the day of 20 .
|Name and Descriptions of Subscribers||Signature of Subscribers||Signature of Witnesses|
* NOTE If liability is not intended to be joint and several and for the full amount, here state what is intended, as, for example, thus - " The liability of the subscribers is joint only, " or " the liability of (mentioning subscriber) is limited to (here state amount of limit of liability or mode of ascertaining limit) " .