348 [No. 12
THE NEW ZEALAND GAZETTE.

residue shall be deemed to be mixed agricultural
and pastoral land.
(B.) Subject to the provisions herein contained and
implied, and also to those of the said Acts and
the said regulations, the provisions of "The
Land Act, 1892," and the regulations there-
under with respect to applications for and the
grant of leases in perpetuity, the stipulations
and conditions subject to which such leases may
be granted, the rights and powers of the lessor
and of every person or authority in Her behalf,
the rights, powers, and functions of the Land
Board and the Commissioner in relation to land
and premises comprised in such leases, and the
estate, interest, rights, duties and liabilities of
the lessees, shall, so far as the same are appli-
cable, apply to this lease as fully as if they were
fully set out herein.
(c.) If and so often as the lessee makes default in the
due and full payment of any rent hereby reserved,
or of any instalment in respect of the value of
buildings as aforesaid, or of any sum in respect of
cost of insurance as aforesaid, or of any other
moneys payable under this lease, or in the faithful
observance and performance of any other of the
covenants, conditions, or stipulations herein con-
tained or implied, and by him to be observed or
performed, then and in any such case the Land
Board may, without any previous or other notice or
demand, forfeit this lease; and in such case all the
lessee's interest therein shall absolutely cease and
determine, subject, nevertheless, to the provisions
of the next following clause, respecting valuation
of improvements; but such forfeiture shall not
affect any right or remedy on the part of the
lessor to recover from the lessee any money due
to the lessor, nor release the lessee from any
penalty or liability in respect to anything done or
omitted to be done by him.
(d.) In the event of the forfeiture or surrender of this
lease, the provisions of "The Land Act, 1892,"
respecting valuation of improvements and the
payment or other disposal thereof shall, so far as
the same are applicable, apply to the improve-
ments made by the lessee.
(e.) For the purpose of distinguishing the improvements
existing on the demised land at the date of this
lease from those subsequently made by the lessee,
the first-mentioned improvements and their value
shall be deemed to be those specified in the Third
Schedule hereto: Provided that to the extent to
which the lessee pays the aforesaid instalments
in respect of the value of buildings specified in
the Second Schedule hereto, to the same extent
shall such buildings be deemed to be improve-
ments made by him.

[Insert such additional provisions (if any), not inconsistent
with the said Acts and the regulations thereunder, as, with
the approval of the Minister, the Land Board thinks fit.]

In witness whereof the Commissioner of Crown Lands for
the Land District of , on behalf of the lessor, hath
hereunto set his hand, and these presents have been also
executed by or on behalf of the lessee.

The First Schedule herebefore referred to.
Description of the demised land:

The Second Schedule herebefore referred to.
Buildings now existing on the demised land:
Capital value thereof:
Instalments by which such capital value (with interest
thereon) is payable, and the due dates of such instalments:
By half-yearly instalments of each, in
advance, in respect of interest alone, and then
half-yearly instalments of each
in advance, in respect of combined capital and
interest, the first instalment (being for the half-
year commencing on the first day of , one
thousand ), having been duly paid, and the
subsequent instalments being payable on the first
day of and the first day of in each
year in the same manner as rent.

The Third Schedule herebefore referred to.
Improvements now existing on the demised land, and
their value:

    Improvements.       Value.
                    £ s. d.

Buildings, as specified in the Second
Schedule hereto .. ..
[Specify other improvements in detail,
with their respective values.]

Total value .. .. £

Signed by the Commissioner, on be-
half of the lessee, in the presence
of—

Signed by or on behalf of the above-
named as lessee, in the
presence of—

FOURTH SCHEDULE.
Application for Pastoral Land for lease as Small Grazing-
run under "The Land for Settlements Act, 1894," and
its Amendments.

To the Commissioner of Crown Lands for the Land Dis-
trict of

I HEREBY apply for a lease of one of the following allot-
ments as a small grazing-run:—

Allotment or
Run. Survey Dis-
trict. Block. Section. Area. Annual Payments. Capital Value. Prescribed
Deposit. Remarks.
A. R. P. For
Rent. For Value
of
Buildings. Of
Land. Of
Build-
ings.
£ s. d. £ s. d. £ s. d. £ s. d. £ s. d.

And I deposit herewith the sum of £ , being the half-
year's instalment of rent, and other payments prescribed in
respect of the small grazing-run applied for.*
In proof of my fitness and qualifications to hold the land
applied for, I hereby make the following replies to the
under-mentioned questions:—

Question. Answer.

1. How old were you last birthday? ..
2. What means (including stock and
   implements or machinery) do you
   possess for stocking and cultivating
   the land, and erecting suitable build-
   ings thereon; and what is the total
   value thereof?
3. Have you means sufficient, in your
   estimation, to enable you to pro-
   fitably work the land and fulfil the
   conditions of the lease? If not,
   state how you propose to do so.
4. What experience have you had in
   working a run?
5. What is your present occupation? ..
6. Are you married? If so, has your
   wife or husband had any experience
   in working a run? Give particulars.
7. Have you any family? If so, state
   the number and sex of your children
   now living with you, and their ages.
8. What land do you hold or have an
   interest in? Give particulars of the
   number of block, section, area, and
   value of such land, and say whether
   it is freehold, leasehold, or what
   other tenure, specifying also what
   portion of it (if any) is rural and
   what portion (if any) is town or
   suburban land.
9. What land does your wife (or husband)
   hold, or have an interest in? Give
   particulars as above.
10. Is the rural land (if any) mentioned in
    answers 8 and 9 insufficient for the
    maintenance of yourself and your
    family? If so, give your reasons.
11. Is the town or suburban land (if any)
    mentioned in answers 8 and 9 in-
    sufficient for a home for yourself
    and your family? If so, give your
    reasons.

Declaration.
I, , of , , do solemnly and sincerely
declare—

1. That I am of the age of twenty-one years and upwards.
2. That I am the person who, subject to the provisions of
   "The Land for Settlements Act, 1894," "The Land for

• If more than one run is applied for, the deposit should be for
  the run requiring the largest deposit, and the words "which is
  greatest in value" should be added.