New Zealand Gazette – 1901 – No. 100

Page 2247

✨ Land Lease Application Forms



Nov. 21.] THE NEW ZEALAND GAZETTE. 2247

The Third Schedule hereinbefore referred to.

Improvements now existing on the demised land, and their value:

Improvements. Value.
Buildings, as specified in the Second Schedule hereto ... £ s. d.
[Specify other improvements in detail, with their respective values]
Total value £

Signed by the Commissioner, on behalf of the lessor,

in the presence of-

Signed by the above-named

as lessee, in the presence of-

SIXTH SCHEDULE.

APPLICATION for an Allotment of Land for Lease in Perpetuity as a Workman's Home under "The Land for Settlements Consolidation Act, 1900," and its Amendments.

To the Commissioner of Crown Lands for the Land District of

I HEREBY apply for a lease in perpetuity of an allotment as a workman's home in group or subdivision of the Settlement, and I deposit herewith the sum of £ , being the half-year's rent of one of the allotments in the group or subdivision . I also indicate my preference for Section No. , Block No. , situate in the Survey District of

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. Are you married?
3. What is your trade, business, or occupation, and are you employed thereat; if so, where and by whom?
4. How many children have you living with you, and what are their respective ages? ...
5. Do you desire the Government to assist you in building, planting, or fencing, by an advance of money? If so, to what extent, and for what purposes? ...
6. What land do you hold or have an interest in? Give particulars of the 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.
7. What land does your wife (or husband) hold or have an interest in? Give particulars as above.
8. Is the rural land (if any) mentioned in answers 6 and 7 insufficient for the maintenance of yourself and your family? If so, give your reasons.
9. Is the town or suburban land (if any) mentioned in answers 6 and 7 insufficient 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 Consolidation Act, 1900," and its amendments, and the regulations made thereunder respectively, am applying for a lease of an allotment described in the foregoing application [or one of the allotments in the said group or subdivision].

  3. That I am acquiring such lease solely for my own use or benefit, and not directly, or indirectly, for the use or benefit of any other person or persons whatsoever.

  4. That I am not, directly or indirectly, either by myself or jointly with any other person or persons, the owner, tenant, or occupier of any land whatsoever, under "The Land for Settlements Consolidation Act, 1900," nor the owner in fee-simple, nor the tenant or occupier under a lease for a term whereof not less than two years are unexpired, of any other land in the colony which, being town or suburban land, exceeds one-fourth of an acre, or, being rural land, exceeds fifty acres in area, or which exceeds in value £300.

  5. That the total value of all the freehold and leasehold property owned by me does not (after deducting the encumbrances thereon) exceed £300.

  6. That my answers to the foregoing questions Nos. 1 to 9 are true and correct in every particular.

And I make this solemn declaration 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, 1882."

[Signature in full.]

Declared at , this day of , one thousand

before me-

[Signature],

A Justice of the Peace in and for the Colony of New Zealand

[or as the case may be].

Received on , at , Commissioner of Crown Lands.



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Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 1901, No 100




✨ LLM interpretation of page content

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