THE NEW ZEALAND GAZETTE.
1785
the County [or Borough] of
on the following grounds: |
(1.) That my name is inserted therein as owner [or occupier]
of a property described as¹
and assessed at the net
value of £ : : Whereas-
(a.) I am not the owner [or occupier] of such property.
[Or (b.) The net value of such property is £
[or more] than that above stated;]
: : less
[Or (c.) ²
]
(2.) That my name is omitted therefrom, whereas I am the
owner [or occupier] of ³
and am entitled to have my
name inserted in the Valuation List in respect thereof.
(3.) That
whose name appears in the said list as the
owner [or occupier] of ⁴
of the net value of £ : :
is not entitled to be inserted in the said list because ⁵
(4.) That the name of
has been omitted from the
said list, whereas he is the owner [or occupier] of ⁶
and ought to be taxed in respect thereof.
(5.) That the net value of the property owned [or occupied]
by
described in the said list as⁷
and of the
net value of £ : : , is £ : : more [or less] than that
stated in the said list.
(6.) That ⁸
I hereby also give notice that I claim exemption from Land-
Tax in respect of the property [or properties] described as
follows:
on the following grounds:-⁹
Dated this
, 18
day of
Christian Name and Surname in full:
Residence:

(1) Insert description from the Valuation List. (2) State
any other reason for objecting. (3) State the description and
situation of the property. (4) State the description of the
property in the Valuation List. (5) State the reasons. (6) State
the description and situation of the property. (7) State the
description in the list. (8) State any inaccuracy in the list
which the objector desires to be corrected. (9) State particulars
of claim for exemption.
N.B. If not sufficient room here for description or reasons,
they will have to be written on the back, and signed also.

SCHEDULE E.
"The Land-Tax Act, 1878." Sections 33, 34, and 35.

VALUATION FOR NEW ZEALAND.
..................District.
County [or Borough] of ..........................
FORM OF REQUISITION TO JUDGE OF ASSESSMENT COURT FOR
..................DISTRICT TO APPOINT A TIME AND PLACE
FOR "HEARING OBJECTIONS TO, AND CLAIMS FOR EXEMP-
FROM, LAND-TAX."

To the Judge of the Assessment Court for the District of
..........................., at........................

In pursuance of the provisions of "The Land-Tax Act, 1878"
(sections 33 to 35), I hereby request that you will be so good as
to appoint a time and place for "Hearing Objections to, and
Claims for Exemption from, Land-Tax," as described in the
Schedule hereunder written.
...................................................Commissioner.

SCHEDULE F.
"The Land-Tax Act, 1878." Sections 32, 33, and 34.

VALUATION FOR NEW ZEALAND.
....................District.
County [or Borough] of..........................

NOTIFICATION IN "GAZETTE" RE "HEARING OF OBJECTIONS
TO, AND CLAIMS FOR EXEMPTION FROM, LAND-TAX."

IT is hereby notified that, in pursuance of the provisions of
"The Land-Tax Act, 1878" (section 32), the objections to the
Valuation List, and claims for exemption from Land-Tax, for
the County of [or Borough of]
will be heard on¹
the
day of
, at
o'clock
, at the
Assessment Court for the district at
..................................................Commissioner.

Wellington,
Date: ..................................18
¹ Not less than fourteen days after the publication of the
Gazette.

SCHEDULE G.
Form No. 5.]
New Zealand." The Land-Tax Act, 1878." Sections 36, 37, and 38.
LAND-TAX REGISTER.
..................District, Count...... [or Borough] of..................
, 18...

OWNER.

SCHEDULE H.
"The Land-Tax Act, 1878." Section 38.

OATH BY DEPUTY COMMISSIONER (AS TO VERIFICATION OF
LAND-TAX REGISTER).

I,
the Deputy Land-Tax Commissioner for the
Land-Tax District, make oath and say, that the paper writing
hereto annexed and marked with the letter A is¹
the
Land-Tax Register for the
District, as made up to the
day of
, 18, in pursuance of the provisions
of the 37th section of "The Land-Tax Act, 1878."

Sworn at
, this
day of
, 18, before me.

Deputy Commissioner.

A Solicitor of the Supreme Court of New Zealand.

¹ NOTE. Where the verification is of the duplicate Land-Tax
Register the words "a duplicate in every particular" should be
inserted between "is" and "the," on third line.

SCHEDULE I.
"The Land-Tax Act, 1878." Section 39.

VALUATION FOR NEW ZEALAND.
..................District.
County of [or Borough of].

FORM OF APPLICATION FROM A PERSON WHOSE NAME IS UPON
THE REGISTER TO THE DEPUTY COMMISSIONER TO REMOVE
HIS NAME THEREFROM, UNDER THE PROVISIONS OF SEC-
TION 39.

To the Deputy Land-Tax Commissioner,
Address: ..................................District,

I HEREBY apply to you to remove my name from the Land-Tax
Register for the District of
in respect of the lands de-
scribed therein as follows:-
on the ground that I am
not the owner thereof; and I further, in support of the same,
hereby transmit you the accompanying statutory declaration
as to the truth of the facts stated in this application.

.................................................day of........................, 18 .

I,
, the above-named applicant, do solemnly and sin-
cerely declare that¹
; and I make this solemn declara-
tion conscientiously believing the same to be true, and by virtue
of an Act of the General Assembly of New Zealand intituled
"The Justices of the Peace Act, 1866."

Declared and signed at
, this day of
, before me.

Justice of the Peace for the Colony of New Zealand.

¹ Here set forth the facts and circumstances upon which the
applicant relies to establish that he is not the owner.