Form 62.41-A 
 
Form of certificate of money provisions in an interlocutor for registration under Schedule 6 to the Civil Jurisdiction and Judgments Act 1982 
 
IN THE COURT OF SESSION 
 
CERTIFICATE 
 
under the Civil Jurisdictions and Judgments Act 1982 
 
in the cause 
 
[or in the petition of] 
 
[A.B.] (designation and address) 
     Pursuer [or Petitioner] 
 
Against 
 
[C.D.] (designation and address) 
Defender [or Respondent] 

I,    a Deputy Principal Clerk of the Court of Session, do hereby certify- 
 
1.  That the pursuer A.B. obtained decree [or other order] against the defender [C.D.] on the   day of   in the Court of Session for payment of the sum of £  in respect of (state briefly the nature of the claim and terms of the interlocutor) with the sum of £ as expenses.   
 
2.  That the interlocutor granting decree [or other order] was obtained on the grounds (state grounds briefly).   
 
3.  That the decree [or other order] carries interest at the rate of  per cent a year on the total of the sum of £ and expenses of £ from the  day of  until payment.   
 
4.  That the time for reclaiming (appealing) against the interlocutor has expired [and no reclaiming motion (appeal) has been enrolled within that time] [and a reclaiming motion (appeal) having been enrolled within that time, has been finally disposed of].   
 
5.  That enforcement of the decree [or other order] has not for the time being been suspended and the time available for its enforcement has not expired.   

Dated the  day of    . 
 
      (Signed) 
 
      Deputy Principal Clerk of Session