FORM 4

PROTEST FOR NON-PAYMENT OF A BILL NOTED, BUT NOT PROTESTED FOR NON-ACCEPTANCE

If the protest is made by the same notary who noted the bill, it should immediately follow the act of noting and memorandum of service thereof, and begin with the words “and afterwards on, etc.,” continuing as in the last preceding Form, but introducing between the words “did” and “exhibit” the word “again,” and in a parenthesis, between the words “written” and “unto,” the words: “and which bill was by me duly noted for non-acceptance on the .................... day of ...................., 19........”.

But if the protest is not made by the same notary, then it should follow a copy of the original bill and endorsements and noting marked on the bill — and then in the protest introduce, in a parenthesis, between the words “written” and “unto,” the words: “and which bill was on the .................... day of ...................., 19........, by ...................., notary public for the Province of .................... noted for non-acceptance, as appears by his note thereof marked on the said bill”.