Financial Forms and Schedules




Feb. 22.] THE NEW ZEALAND GAZETTE. 395

I do solemnly and sincerely declare that the above is a true and complete statement for the period above named of all fees, fines, and penalties collected by means of stamps at the Court at , but which are payable to local bodies under Acts or Ordinances now in force. And I make this declaration conscientiously believing the same to be true.

Signature: ,
Office: .

This declaration was made and signed in my presence at , on this day of , 18 .
Name of witness: ,
Description:

Fourth Form.—Statement of Revenue collected by means of Stamps.] [Regulation 27.

FIFTH SCHEDULE.
DEPOSIT RECEIPT.

Place: ,
Date: , 18 .

RECEIVED from , by way of deposit on account of , the sum of pounds shillings and pence.

Signature: ,
Official designation of Receiver: .

The above deposit has been returned to me this day.

Signature: .
Date: .

£ : :
Fifth Form.—Deposit Receipt.] [Regulation 30.

SIXTH SCHEDULE.
BANK RECEIPT.—DEPOSIT ACCOUNT.

RECEIVED into the Bank of New Zealand at , by the hands of , the sum of pounds shillings and pence, to be placed to the credit of “Deposit Account of [official designation of Receiver].”

Dated this day of , 18 .

For the Bank of New Zealand,
Signature: .

£ : :
Sixth Form.—Bank Receipt. Deposit Account.] [Regulation 30.

SEVENTH SCHEDULE.
BANK RECEIPT.—RECEIVER-GENERAL’S DEPOSIT ACCOUNT.

RECEIVED into the Bank of New Zealand at , by the hands of , the sum of pounds shillings and pence, to be placed to the credit of the Receiver-General’s Deposit Account at Wellington.

Dated this day of , 18 .

For the Bank of New Zealand,
Signature: .

£ : :
Seventh Form.—Bank Receipt. Receiver General’s Deposit Account.] [Regulation 35.

EIGHTH SCHEDULE.
DEPOSIT CASH-BOOK.

DEPOSIT CASH-BOOK of [official designation of officer], at , for the Period ended Saturday, the day of , 18 .

Date. Particulars of Deposits received. No. of Deposit Receipt. Refund No. No. of Bank Receipt. Amounts. Daily Totals.
£ s. d. £ s. d.
Totals ... ... ...
Balance in Bank on ... ... ...
Totals ... ... ...
Date. Particulars of Deposits withdrawn. Refund No. No. of Deposit Receipt. Amounts. Daily Totals.
£ s. d. £ s. d.
Totals ... ... ... ...
Balance in Bank on ... ... ... ...
Totals ... ... ... ...

I do solemnly and sincerely declare that the above is a correct copy of my Deposit Cash-book for the period above named, and is a true and complete account of all deposits received by me as , and paid into the Deposit Account, and refunded to depositors or otherwise disposed of, during the same



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Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 1892, No 17





✨ LLM interpretation of page content

💰 Declaration of Revenue from Stamps

💰 Finance & Revenue
Revenue, Stamps, Local Bodies, Fees, Fines, Penalties
  • Signature: , Office: .
  • Name of witness: , Description:

💰 Deposit Receipt

💰 Finance & Revenue
Deposit, Receipt, Bank, Local Bodies
  • Signature: , Official designation of Receiver: .

💰 Bank Receipt for Deposit Account

💰 Finance & Revenue
Bank, Deposit, Receipt, New Zealand, Local Bodies
  • For the Bank of New Zealand, Signature: .

💰 Bank Receipt for Receiver-General’s Deposit Account

💰 Finance & Revenue
Bank, Deposit, Receipt, New Zealand, Receiver-General
  • For the Bank of New Zealand, Signature: .

💰 Deposit Cash-Book

💰 Finance & Revenue
Deposit, Cash-Book, Bank, Local Bodies, Financial Records
  • I do solemnly and sincerely declare that the above is a correct copy of my Deposit Cash-book for the period above named, and is a true and complete account of all deposits received by me as , and paid into the Deposit Account, and refunded to depositors or otherwise disposed of, during the same