Tax Assessment Forms




MAY 12.] THE NEW ZEALAND GAZETTE. 653

issued by the Company in respect of money borrowed
on debentures by the company: £ .

I, , being the duly appointed public officer of the
above-named company, and in that capacity duly authorised
to make the above return, do solemnly and sincerely declare
that I am well acquainted with the affairs of the said com-
pany, and that the said return contains a true and accurate
statement of the income for the year ending the 31st March,
18 , of the debenture-holders in respect of money lent to
the said company on debentures.

Dated this day of , 18 .
(Usual signature:)


Deduction claimed on Account of Liability to pay Land-tax
in respect of Land occupied for Business or Employment,
such Deduction being equal to 5 per Cent. on the Amount
upon which the Company is liable to pay Land-tax on
such Land.

Assessment No. Description of Land used as Place of Business or Employment. Actual Value. Value of Improvements. Amount of Mortgage. Amount on which Land-tax payable.

N.B.—No deduction can be claimed by the owner in respect of
premises or portion of premises let to a tenant.


STATEMENT to be made by Government Departments, Local
Authorities, Persons, Firms, Companies, and Societies
employing Officers, Managers, Travellers, Clerks, Fore-
men, Workmen, Servants, and Others in New Zealand,
whether paid by Salary, Weekly Wage, or otherwise.

List of Persons in the Service or Employ of the Company.

Name in full. In what Capacity employed. Place of Residence. Amount of Pay received, including Salary, Wages, Bonus, Commissions, and Allowances.

NOTE.—In the case of any person the total payment to whom
does not exceed £160 a year, an entry need not be made.

List of Directors, Auditors, and Others to whom Payment
has been made, and who are not included in the above
List.

Name in full. In what Capacity employed. Address. Amount of Fees, Salary, Bonus, &c.

NOTE.—If there should not be sufficient space in any of the above
forms, a sheet giving the required information may be attached.

ALEX. WILLIS,
Clerk of the Executive Council.


By Authority : SAMUEL COSTALL, Govt. Printer for the time being,
Wellington.



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Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 1893, No 39





✨ LLM interpretation of page content

💰 Tax Assessment Form for Debenture Holders (continued from previous page)

💰 Finance & Revenue
Tax Assessment, Debenture Holders, Income, Return

💰 Deduction Claim for Land Tax

💰 Finance & Revenue
Land Tax, Deduction, Assessment, Business Premises

💰 Employment and Payment Statement

💰 Finance & Revenue
Employment, Payment, Salary, Wages, Bonuses, Commissions
  • ALEX. WILLIS, Clerk of the Executive Council