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

This information is provided by CCH Australia Limited Link opens in new window. View the disclaimer and notice of copyright.