Commonwealth Consolidated Acts Know
all men that I, A.B. [householder],
of
in the
State of
, in the Commonwealth of Australia, at the
request of C.D., did on the
day of
, 19 ,
at
, demand payment [ or acceptance] of the bill of exchange hereunder written,
from E.F., to which demand he made answer [ state answer, if any ], wherefore
I now, in the presence of G.H. and J.K., do protest the said bill of exchange.
(Signed) A. B.
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N.B.--The bill itself should be annexed, or a copy of the bill and all that is written thereon should be underwritten.