| Role | Name | Name (original language) | Name (translation) | Floruits |
|---|---|---|---|---|
| Grantor | Alexander, son of Henry son of Samson | Alexander filius Henrici de Samsonschelis | Alexander son of Henry of Samsonshiels | |
| Beneficiary | Dryburgh Abbey (fd.1150) | ecclesie sancte Marie de Driburgh | church of St Mary of Dryburgh | 1150 × 1345 |
| Sicut Clause | William of Burncastle | Willelmi | said William |