Schedule F Note of Appeal
Note of appeal for A.B.,[design him,] supervisor of Excise for [or as the case may be].
In the information in the Excise Branch of the Inland Revenue, [or the Stamps Branch of the Inland Revenue, or the Customs Branch of the Revenue, or as the case may be,] at his instance against C.D., [design him,] before Her Majesty’s justices of the peace for the county of
[or]
In the matter of the warrant of commitment of the said A.B., granted upon the application [or certificate, or as the case may be,] of C.D., [design him,] issued by Her Majesty’s justices of the peace for the county of , [or the sheriff of the county of , or as the case may be].
The appellant hereby appeals against a judgment [or warrant of commitment, or as the case may be,] of the said justices, dated [specify date], signed by and
[name the justice or justices by whom signed, and state that they are justices].
In respect whereof, &c.
[To be signed by any solicitor of Revenue, or
by any agent before the Court of Session.]