This Indenture made the day of between AB of of the one part, and CD of of the other part, witnesseth that in consideration of the sum of £ now paid to AB by CD, the receipt of which the said AB hereby acknowledges [or whatever else the consideration may be], he the said AB doth hereby assign unto CD, his executors, administrators and assigns, all and singular the several chattels and things specifically described in the schedule hereto annexed by way of security for the payment of the sum of £ and interest thereon at the rate of per cent per annum and the said AB doth further agree and declare that he will duly pay to the said CD the principal sum aforesaid, together with the interest then due, by equal payments of £ on the day of [or whatever else may be stipulated regarding times or time of payment]. And the said AB doth also agree with the said CD that he will [here insert terms as to insurance, payment of rent or otherwise which the parties may agree to for the maintenance or defeasance of the security].

Provided always that the chattels hereby assigned shall not be liable to seizure or to be taken possession of by the said CD for any cause other than those specified in Section 7 of the Bills of Sale Act (1878) Amendment Act 1882.

In witness, & etc

Signed and sealed by the said AB in the presence of me EF [add witness’s name, address and description].