Savings Bank at_______________, in the county of_______________.
Whereas _______________ of _______________, a depositor in the above-named Savings Bank, is desirous of closing his [or her] account with the said bank for the purpose of transferring his [or her] deposits to the Savings Bank at _______________, in the county of _______________; and to enable him [or her] so to do, the said depositor has applied for a certificate of the whole amount due to him [or her], pursuant to the Act (26 and 27 Vict. c. 87): we hereby certify that the sum due to the said depositor for money deposited by him [or her] in this Savings Bank, inclusive of all interest due to him [or her] at this date, amounts to the sum of [state the amount in words], of which the sum of [state the amount, if any, in words] has been deposited since the twentieth of November last; and we further certify, that his [or her] account with this Savings Bank has been closed by the issue of this certificate.
Witness our hands this _________ day of _________, 18____.
______________ ⎫ Two of the Trustees or Managers [appointed
⎬ for this object, by the Trustees] of the
______________ ⎭ above-named Savings Bank.
Examined _________________
the Actuary or Secretary of the above-named Savings Bank.
(D.)
An Abstract of the Act “To make further provision for the Establishment of Savings Banks for Seamen.” (19 and 20 Vict. c. 41.—7th July, 1856.)
Preamble. Whereas by the Merchant Shipping Act, 1854, certain powers were given to the Commissioners for the Reduction of the National Debt for the purpose of establishing Savings Banks for Seamen; and whereas it has since been found to be expedient that the immediate management and control of such Savings Banks should be placed in the hands of the Board of Trade. Be it enacted, &c.