I, ..................................................................................................., landowner or householder of......................................................................................................................................................in the magisterial district of ........................................................................................................,at the request of ..........................................................................................................................., there being no notary available did on the ...................... day of .................................................20 ................... at ....................................................................., demand payment or acceptance from ............................................................................................., of the bill of exchange which or a copy of which is hereto attached to which demand he or she answered (state answer, if any) ...........................................................................................................................................wherefore I now in the presence of (name of witnesses) ............................................................. and ......................., do protest the bill. |