Mar. 28.] THE NEW ZEALAND GAZETTE. 767

7. RETURN OF INCOME BY MANUFACTURING OR GENERAL TRADING COMPANY.

"The Land and Income Assessment Act, 1900."

In pursuance of the above Act and of the regulations made thereunder, every company in receipt of income within the meaning of the said Act is required to fill up the following return as far as applicable to its particular case, and deliver the same at, or forward it by post to, the office of the Commissioner of Taxes, Wellington, on or before the day of , 19 . , Commissioner of Taxes.

RETURN of the Income of [Name of company in full and postal address], made in pursuance of "The Land and Income Assessment Act, 1900," and the Regulations thereunder.

INCOME derived during the year ending 31st March, 19 (or date of company's balance), as per details shown within: £

I, , the duly appointed public officer of the above-named company, do solemnly and sincerely declare that the foregoing return is true and accurate in every particular, and that the copy of the balance-sheet hereto attached is a true copy of the balance-sheet of the said company issued to shareholders, or prepared for issue, last prior to the date of this return. And I make this declaration under the provisions of "The Land and Income Assessment Act, 1900."

Dated this day of , 19 . [Usual signature.]

Return as Agent for Debenture-holders.

RETURN of the income of the company's debenture-holders received or receivable for the year ending the , 19 : £

I, , the duly appointed public officer of the above-named company, do solemnly and sincerely declare that the foregoing return is true and accurate in every particular. And I make this declaration under the provisions of "The Land and Income Assessment Act, 1900."

Dated this day of , 19 . [Usual signature.]

I claim to deduct from net income, &c. [as in Form 6].

Return of Persons in the Service or Employ of the Company [as in Form 6].

Return of Directors, Auditors, and Others.

[All amounts should be included in this list.]

Statement of Gross Income from Business, and Deductions therefrom, for the Year ending , 19 .

Amount. Total.
£ £

Sales both for cash and on credit for twelve months ending at date of stocktaking (include goods supplied for taxpayer's own use, and goods used in the business, or upon buildings, plant, fixtures, &c.) ..

Stock in hand at date of stocktaking on expiry of the twelve months .. ..

Less stock in hand at the commencement of the twelve months .. ..

Less purchases of stock for twelve months ending at date of stocktaking (at cost laid down on the premises) .. ..

Less labour and materials used in manufactures .. .. .. ..

(This should only appear in case of a manufacturing business.)

Other income from business—viz., commissions, &c., as follows:—

Gross income .. .. .. ..

Deductions from Gross Income.

Amount Total.
£ £

Salaries and wages (not to include any sums deducted above under heading "Labour and Materials") .. ..

Rent (include only rent of premises or portion of premises used exclusively for the purpose of the business), not to include rental value of premises owned by company .. .. .. ..

Rates on business premises (not to include payments for land- or income-tax) ..

Fire insurance (on business premises and stock only) .. .. .. ..

Interest, exchange, and discounts allowed, less amounts received (not to include interest on mortgages) .. ..

Travelling-expenses, incurred in the business only .. .. .. ..

Printing, stationery, advertising, stamps, and telegrams .. .. ..

Repairs or maintenance of machinery, plant, or business premises (not to include additions or improvements to property or plant, nor any depreciation) ..

Petty expenses, incurred in the business only (not to include donations, gratuities, nor subscriptions) .. .. ..

Bad debts (to include those proved to be bad during the year and actually written off the books as bad and irrecoverable, and no others) .. .. ..

Other items (to be specified)—

Total deductions .. .. .. ..

Net income .. .. .. .. £

8. RETURN OF INCOME BY GOLD-MINING COMPANY.

"The Land and Income Assessment Act, 1900."

In pursuance of the above Act and of the regulations made thereunder, every company in receipt of income within the meaning of the said Act is required to fill up the following return as far as is applicable to its particular case, and deliver the same at, or forward it by post to, the office of the Commissioner of Taxes, Wellington, on or before the day of , 19 . , Commissioner of Taxes.

RETURN of the Income of [Name of company in full, and postal address], made in pursuance of "The Land and Income Assessment Act, 1900," and the Regulations thereunder.

TOTAL dividends paid during the year ending , 19 : £

Half the above amount .. .. .. £

Income from other sources, as per details attached .. .. .. ..

Total net income .. .. .. £

I, , the duly appointed public officer of the above-named company, do solemnly and sincerely declare that the foregoing return is true and accurate in every particular, and that the copy of the balance-sheet hereto attached is a true copy of the balance-sheet of the said company issued to shareholders, or prepared for issue, last prior to the date of this return. And I make this declaration under the provisions of "The Land and Income Assessment Act, 1900."

Dated this day of , 19 . [Usual signature.]

Return as Agent for Debenture-holders [as in Form 7].

Return of Persons in the Service or Employ of the Company [as in Form 6].

Return of Directors, Auditors, and Others [as in Form 7].

9. RETURN OF INCOME BY LIFE INSURANCE COMPANY.

"The Land and Income Assessment Act, 1900."

In pursuance of the above Act and of the regulations made thereunder, every company in receipt of income within the meaning of the said Act is required to fill up the following return as far as is applicable to its particular case, and deliver the same at, or forward it by post to, the office of the Commissioner of Taxes, Wellington, on or before the day of , 19 . , Commissioner of Taxes.