The FORM of a CERTIFICATE To be used by Justices of Peace and others, through England and Wales, in the case of Popish Recusants refusing to take the Oath of Abjuration, and neglecting to appear before the Justices to take the said OATH.  
We C. 
The County of Buckingham.  B. and G. F. Justices of the Peace for the County of Buckingham, whose Names are subscribed, In pursuance of His Highness the Lord Protector His Proclamation, published the Twenty sixth day of April, One thousand six hundred fifty five, entitled, A Proclamation declaring His highness' Pleasure and Command, for putting in Execution the Laws, Statutes and Ordinances made against Jesuits and Priests, and for the speedy Conviction of Popish Recusants according to an Ordinance of Parliament in the said Proclamation mentioned, do certify to the Right honourable the Lord Chief Baron, and the rest of the Barons of His said Highness Court of Exchequer, That the several and respective persons, whose Names, places of Abode, and Titles or Additions are particularly mentioned in a certain Schedule 
* Or Schedules.  hereunto annexed, attested under our Hands and Seals, being suspected to be Popishly affected, were therefore Required to attend Us at_____ in the said County of Bucks, and upon their Appearance before Us the_____ day of_____ in the Year of our Lord One thousand six hundred fifty five; We the said Justices did then and there tender unto them and every of them, the Oath of Abjuration in the said Ordinance and Proclamation mentioned, in these words following (that is to say;)  
I A. B. do Abjure and Renounce the Pope's Supremacy and Authority over the Catholic Church in general, and over myself in particular; And I do believe that there is not any Transubstantiation in the Sacrament of the Lord's Supper, or in the Elements of Bread and Wine after Consecration thereof, by any person whatsoever; And I do also believe that there is not any Purgatory, and that the Consecrated host, Crucifixes or Images ought not to be worshipped, neither that any worship is due unto any of them; And I do also believe that Salvation cannot be merited by Works, and all Doctrines in affirmation of the said points, I do abjure and renounce, without any Equivocation, Mental Reservation, or Secret Evasion whatsoever, taking the words by me spoken, according to the common and usual meaning of them: So help me God.  
Which said Oath of Abjuration being so tendered, they and every of them did refuse to take.  
And We the aforesaid Justices further cer●ifie to the said Lord Chief Baron, and the rest of the Barons above mentioned, That the several persons whose names, places of abode, and Titles or Additions are likewise specified in another Schedule 
* Or Schedules.  hereunto annexed, being also suspected to be Popishly affected; and they and every of them being legally required (as by Oath made thereof before Us appeareth) to attend Us the aforesaid Justices at_____ in the said County of Bucks, the_____ day of_____ in the Year of our Lord One thousand six hundred fifty five, then and there to take the said Oath of Abjuration, in the said Ordinance and Proclamation mentioned, but they and every of them did refuse and neglect to attend Us accordingly. In witness whereof We the aforesaid Justices have hereunto set our Hands and Seals this_____ day of_____ in the Year of our Lord One thousand six hundred fifty and five.  

The Title of the Schedule to be  

Bucks.  THe names of the several persons suspected to be Popishly affected, who upon Summons appeared before Us Justices of the Peace named in the Certificate, whereto this Schedule [or these Schedules, if there be more than one] is annexed, and refused to take the Oath of Abjuration in the said Certificate expressed tendered to them.  
That is to say, 

A B. of_____ in the said County of Bucks, Esquire.  
Mary house the Wife of Robert house of_____ Gent.  
Alice Turner of_____ Widow.  
Anne Sympson of_____ Spinster.     

The Title of the other Sch●●ule●.  

Bucks.  THe names of the several persons suspected to be Popishly affected, who being legally Required to appear before Us Justices of the Peace mentioned in the Certificate, whereto this Schedule [or Schedules] is annexed, to take the Oath of Abjuration, in the said Certificate expressed, did neglect to attend Us accordingly.  
That is say, 

C. D. of_____ in the said county of Bucks, Gent.  
M. O. of the same, Yeoman.     
Memorandum, The Certificate and Schedules truly and fairly written, and signed by the Justices, to be made in Parchment, and to be sent Sealed up, to the Barons of the Exchequer, delivered upon Oath, That they are as they were received from the hands of the Justices that sign the same.