1240
THE NEW ZEALAND GAZETTE.
[No. 82

Particulars of the Land owned by, of .

| Local District | Freehold or | No. of Section | Street or Parti- | Area. | Actual Value, | Value of Im- | Unimproved | If leased, state | Annual Letting |
| or Borough. | Leasehold. | or Allotment. | cular Locality. | | including Im- | provements. | Value. | when Lease | Value. |
| | | | | | provements. | | | will expire | |
| | | | | £ | £ | £ | | and Rent. | £ |

4. FORM OF RETURN OF LAND AND MORTGAGES TO BE MADE
   BY A COMPANY.

RETURN of the Land and Mortgages of [name in full] made
in pursuance of “The Land and Income Assessment Act,
1891,” and the regulations made thereunder, for the year
commencing 1st April, 189, so far as respects all land
owned by the above-named company, and all mortgages
of land held by such company on the 1st November,
189, according to the several particulars hereinafter set
forth, and of deductions at such date as are allowed by
law.

Ordinary Tax.

Land owned by the company (particulars at back
hereof) according to its actual value .. .. £
Less value of improvements thereon up to
£3,000 .. .. .. .. £

Mortgages of land held by the company (particu-
lars at back hereof) according to the actual
value thereof to the company as mortgagee,
amounting to .. .. .. .. £

Total land and mortgages .. £
Deduct amount due or owing by the company on
mortgage of above land (particulars at back
hereof) .. .. .. .. £

Balance .. .. .. £

The deduction by way of exemption allowed by law will
be made in the Tax Office.

Graduated Tax.

Land owned by the company included in the
particulars at back hereof .. .. .. £
Less value of all improvements thereon .. £

Balance .. .. .. £

I [name in full], being the duly-appointed public officer
of the above-named company, and in that capacity duly
authorised to make the foregoing return, do solemnly and
sincerely declare that I am well acquainted with the affairs
of the said company, and that the said return and the state-
ments therein referred to or accompanying such return
contain true and accurate details of the several matters
and things set forth, and in particular contain a true and
accurate account of all land in New Zealand owned by such
company on the 1st day of November, 189, and of all mort-
gages of land in New Zealand held by such company on the
same date, and that the improvements for which deduction
is claimed actually existed on the date aforesaid, and were
of the value stated by me, and that the mortgages for which
deduction is claimed are mortgages which the company is
legally entitled to deduct. And I make this declaration
under the provisions of “The Land and Income Assessment
Act, 1891,” and as such public officer as aforesaid.
Dated this day of , 189.
(Usual signature.)

Particulars of Money lent by the Company secured on
Mortgage.

| Person to whom the Money is lent. | Amount of | Amount |
| | Mortgage. | now owing, |
| | | including |
| Name. | Occupation. | Address. | £ | Interest |
| | | | | due. |
| | | | £ | £ |

Particulars of Money owing by the Company secured on
Mortgage.

| Person to whom the Money is owing. | Amount of | Amount |
| | Mortgage. | now owing, |
| | | including |
| Name. | Occupation. | Address. | £ | Interest |
| | | | | due. |
| | | | £ | £ |

Particulars of the Land owned by the Company.

| Local District | Freehold or | No. of Section | Street or Parti- | Area. | Actual Value, | Value of Im- | Unimproved | If leased, state | Annual Letting |
| or Borough. | Leasehold. | or Allotment. | cular Locality. | | including Im- | provements. | Value. | when Lease | Value. |
| | | | | | provements. | | | will expire | |
| | | | | £ | £ | £ | | and Rent. | £ |

5. FORM OF ASSESSMENT-ROLL OF LAND.
   “The Land and Income Assessment Act, 1891.”

Name of local district :

ASSESSMENT-ROLL of Land for the Triennial Period com-
mencing 1st April, 189.

| | | Occupier within | | | | | | | | | |
| | | the meaning of | | | | | | | | | |
| | | "The Rating | | | | | | | | | |
| | | Act, 1882." | | | | | | | | | |
| Owner. | | | | | | | | | | Land-tax. | |
| | | | | | | | | | | |
| Number. | Surname. | Christian Name. | Occupation. | Postal Address. | Surname. | Christian Name. | Occupation. | Postal Address. | Description of the Property | Block and Survey Districts. | Area. | Actual Value of Property, in- | Value of Owner's Interest. | Value of Lessee's Interest. | Value of Improvements. | Unimproved Value. |
| | | | | | | | | | | | cluding Improvements. | | | | |

6. FORM OF NOTICE OF ASSESSMENT.
   “The Land and Income and Assessment Act, 1891.”

To

TAKE notice that your name appears on the assessment-roll
for the , as owner or occupier of the following
land:—

| Assessment No. | Description of | Area. | Actual Value of | Value of | Value of | Value of | Unimproved |
| (which must be | Property. | | Property, inclu- | Owner's | Lessee's | Improvements. | Value. |
| quoted when | | | ding Improve- | Interest. | Interest. | | |
| making objec- | | | ments. | | | | |
| tions.) | | | | | | | |
| | [Date stamped here.] | | | | | | |

Objections must be signed by the objector, and should be
written on the prescribed form (which may be obtained at
any post-office), and posted to me on or before the above
date.

Commissioner of Taxes.

NOTE.—Public notice will be given of the first sitting of
the Board of Review.