Mar. 28.] THE NEW ZEALAND GAZETTE. 769

Goods sold in the Colony by Agents for Non-resident Traders.

Total gross profits .. £

Deductions—Losses, outgoings, and expenses incurred in New Zealand, particulars as follows :—

Total net profits .. £

*Here state “soft goods,” “ironmongery,” &c., as the case may be.

Goods received from Abroad and sold in the Colony on Consignment Account.

Total .. £ .. £

*Here state “soft goods,” “ironmongery,” &c., as the case may be.

Return of Orders for Goods to be made by Non-resident Agents or Non-resident Traders.

Name of principal : .

Address : .

Trade or business : .

Signature of non-resident agent or non-resident trader :

Date : __

12. RETURN OF INCOME BY SHIPPING 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.

INCOME derived during the year ending 31st March, 19, 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 [as in Form 7].

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

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

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

Return by Company having its Head Office in New Zealand.

Amount. Total.
£ £

Gross income—

Total gross income .. .. .. £

Deductions from Gross Income.

Salaries and wages .. .. ..

Rent (include only rent of premises or portion of premises used exclusively for the purposes of the business; not to include rental value of premises owned by taxpayer) .. .. ..

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

Fire and marine insurance .. ..

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

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

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

Repairs or maintenance (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)..

Other items—

Total deductions .. .. __ __

Net income .. .. .. £

Return by Company having its Head Office beyond New Zealand.

Total .. .. £

13. NOTICE OF ASSESSMENT OF INCOME OF PERSON OR FIRM.

Register No. .

Land- and Income-tax Department,
Wellington, , 19 .

To __.

TAKE notice that your name appears on the Income-tax Roll for the year commencing on the 1st day of April, 19____, as below.

The assessment is made in accordance with the Act on income derived during the year ending __.

Objections must be signed by the objector, and should be written on the prescribed form (which may be obtained at any post-office) and posted to me not later than the day of __, 19____.

, Commissioner of Taxes.