94
THE NEW ZEALAND GAZETTE.

Total gross annual value
Total annual value of deductions
£ s. d.
Total annual value of deductions
Net annual value

declare that this is a just and true account of all the
succession in real and leasehold property of
upon the
death of the before-named
and that the said
was born on the
of
derived.
day of
18 , and is a
the Predecessor from whom the said property is

Dated at
this
day of
18
(Here sign the Account)

ASSESSMENT.
THE value of an Annuity of £
for a life aged
is £
and the Duty on this sum, at the rate of
per cent., is assessed at £
By the Commissioner of Stamp Duties,

RECEIPT FOR DUTY.
Stamp Office,
RECEIVED from
the sum of
instalment of the Duty above mentioned.
£
: :
Registered,
being the
For the Commissioner of Stamp Duties,

RATES OF DUTY.
Lineal Issue or Lineal Ancestor of the Predecessor £1 per Cent.
Brothers and Sisters of the Predecessor, and their
Descendants
£3 do.
Brothers and Sisters of the Father or Mother of
the Predecessor, and their Descendants
£5 do.
Brothers and Sisters of a Grandfather or Grand-
mother of the Predecessor, and their Descendants £6 do.
Persons in any other degree of Collateral Con-
sanguinity
£7 do.
Persons being Strangers in Blood to the Deceased £10 do.
The Husband or Wife of the Predecessor is not chargeable
with duty, and the Husband or Wife of a Successor is chargeable
with the rate of Consanguinity.
OBSERVE. The Duty is payable by eight equal half-yearly
instalments, the first to be paid twelve months after the
Successor shall have been entitled in possession, and the seven
following instalments at half-yearly intervals of six months
each; and if there be any delay in payment, penalties will be
incurred.

(W.)
ANNUITY.
STAMP DUTY.-Second and subsequent Instalments
of Succession Duty on Real Property.
This Account to be rendered in Duplicate.

REGISTER
of the year 18
Folio

THE Succession of
,
of
, upon the death of
who died on the
day of
, the Predecessor under*
day of
derived from
which Duty was assessed on the
on an annual value of £
delivered byt
,
18
, for
,18
as shewn by an account

• Here state the title, whether under settlement, by survivorship, or in
  any other manner; and if under a deed or document, the date thereof, and
  the names of the parties thereto.

• Here state whether Trustee, &c., or Successor.

The value for a life of
years is £
,
and the amount of Duty is assessed at £
per cent.
eighth part
thereof now due on
£

RECEIPT FOR DUTY.
Stamp Office,
, 186
RECEIVED from
the sum of
being the first
instalment of the Duty above mentioned.
£
:
:
Registered,
For the Commissioner of Stamp Duties,

RATES OF DUTY.
Lineal Issue or Lineal Ancestor of the Predecessor £1 per Cent.
Brothers and Sisters of the Predecessor, and their
Descendants
£3 do.
Brothers and Sisters of the Father or Mother of
the Predecessor, and their Descendants
£5 do.
Brothers and Sisters of a Grandfather or Grand-
mother of the Predecessor, and their Descendants £6 do.
Persons in any other degree of Collateral Con-
sanguinity
£7 do.
Persons being Strangers in Blood to the Deceased £10 do.
The Husband or Wife of the Predecessor is not chargeable
with duty, and the Husband or Wife of a Successor is chargeable
with the rate of Consanguinity.
OBSERVE. The Duty is payable by eight equal half-yearly
instalments, the first to be paid twelve months after the
Successor shall have been entitled in possession, and the seven
following instalments at half-yearly intervals of six months
each; and if there be any delay in payment, penalties will be
incurred.

(Χ.)
FORM OF DECLARATION of the VALUE of a RUN or
STATION held under License or Lease or promise
of License or Lease from the Crown, or of any
interest therein.

NEW ZEALAND,
TO WIT.
}
I [or WE],
, of
, do solemnly and sincerely
declare, that the fair and reasonable market value of the Run
or Station, situate at
, in the Province of
, and known
by the name of
, consisting of the blocks called
now held under license or lease or promise from the Crown, or
of my [or our] interest therein, is the sum of
. And I
[or we] make this solemn declaration, conscientiously believing
the same to be true, and by virtue of the provisions of an Act
made and passed in the sixth year of the reign of His Majesty
King William the Fourth, intituled "An Act to repeal an Act
of the present Session of Parliament, intituled 'An Act for the
more effectual abolition of Oaths and Affirmations taken and
made in various Departments of the State, and to substitute
Declarations in lieu thereof, and for the more entire suppression
of voluntary and extra-judicial Oaths and Affidavits, and to
make other provisions for the abolition of unnecessary Oaths."

Made and subscribed at
Colony of New Zealand, this
day of
hundred and
, in the
, one thousand eight
before me
Signature of a Magistrate
or Commissioner
}

(Y.)
NOTICE.

To the
of the

THE declared Returns furnished by the
, pursuant to
"The Bankers' Return Act, 1858," show that the average total
value of the Notes of the said Bank in circulation in the Colony
of New Zealand during the Quarter ended on the
day
of
, 18
, amounted to
sterling.
The amount payable under "The Stamp Duties Act, 1866,"
by way of composition on the sum above mentioned is assessed
at
sterling, and you are accordingly required to pay
that amount to the Commissioner of Stamps, at the Stamp
Office.

Stamp Office, Wellington,
, 18
Commissioner.