1. A nomination by the incumbent.
The following form of nomination is intended to serve where the incumbent is non-resident.
“To the Right Reverend —— Lord Bishop of ——.
“I, G. H. of ——, in the county of ——, and your lordship’s diocese of ——, do hereby nominate E. F., bachelor of arts, (or other degree,) to perform the office of a curate in my church of —— aforesaid; and do promise to allow him the yearly stipend of ——, to be paid by equal quarterly payments, [as to amount of stipend, see 1 & 2 Vic. c. 106, and the latter part of this article,] with the surplice fees, amounting to —— pounds per annum, (if they are intended to be allowed,) and the use of the glebe house, garden, and offices which he is to occupy (if that be the fact; if not, state the reason, and name where and at what distance from the church the curate purposes to reside): and I do hereby state to your lordship, that the said E. F. does not serve any other parish, as incumbent or curate; and that he has not any cathedral preferment or benefice, and does not officiate in any other church or chapel (if however, the curate does serve another church as incumbent, or as curate, or has any cathedral preferment, or a benefice, or officiates in any other church or chapel, the same respectively must be correctly and particularly stated): that the net annual value of my said benefice, estimated according to the act 1 & 2 Vict. c. 106, ss. 8 & 10, is ——, and the population thereof, according to the latest returns of population made under the authority of parliament is ——; that there is only one church belonging to my said benefice (if there be another church or chapel, state the fact); and that I was admitted to the said benefice on the —— day of ——, 18—.
“Witness my hand this —— day of ——, in the year of our Lord one thousand eight hundred and ——
[Signature and address of] G. H.”
Declaration to be written at the foot of the Nomination.
“We the before-named G. H. and E. F. do declare to the said Lord Bishop of ——, as follows: namely, I the said G. H. do declare, that I bonâ fide intend to pay, and I the said E. F. do declare that I bonâ fide intend to receive, the whole actual stipend mentioned in the foregoing nomination and statement, without any abatement in respect of rent, or consideration for the use of the glebe house, garden, and offices, thereby agreed to be assigned, and without any other deduction or reservation whatsoever.
Witness our hands this —— day of ——, one thousand eight hundred and ——.
[Signatures of] G. H. and E. F.”