Memorandum of transfer of equitable mortgage by deposit of title deeds
I the within named [mortgagee] hereby acknowledge that I have this day received the sum of Rs_________ paid by [transferee] (which sum represents the aggregate of Rs______principal money Rs______interest and Rs_______costs due in respect of the within written memorandum [or the memorandum dated the._____day_______of____whereby the property known as [description] was equitably charged to me as therein stated] and that the documents referred to in the schedule to the said memorandum have been this day handed to the said [transferee] to the intent that the within mentioned sum of Rs________and the interest thereon and the securities therefor should be transferred to the said [transferee].
Dated the_______day of______
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