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WE, the Copyhold Commissioners, do hereby certify, That the [here state the gross Sum of Money, or the annual Rentcharge, which is the Consideration for the Enfranchisement, as the Case may be] has been awarded on account of the Enfranchisement of the Lands described in the Schedule hereto, and we hereby charge the same Lands with the Payment of the [here state the gross Sum of Money, or annual Rentcharge, as the Case may be; and, if a gross Sum of Money, add, with Interest thereon at the Rate of Pounds per Centum per Annum] [here insert the Terms of Payment of the Principal and Interest (if any), and the Place (if any) agreed on for Payment thereof] ; and we certify, that the whole Principal Money charged on the said Lands under Certificate of Charge amounts to the Sum of Pounds, and that the said Lands were enfranchised subject to mention any gross Sums or annual Rentcharges (other than Tithe Rentcharges) subject to which the Lands were enfranchised].
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