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Schedule THIRTEENTH Form of Memorandum of Allocation

The proportion of the annual sum of £ created by (particulars of deed) allocated upon all and whole (description of land) is hereby fixed at £ (and if an increase is payable, add) with £ of increase making a total of £ per annum.

[To be signed by minister or trustees under deed of constitution or the General Trustees, as the case may be, or by an agent on behalf of the minister or trustees or General Trustees, respectively.]