514
THE NEW ZEALAND GAZETTE.
[No. 12

Form 22 Reg. (45).

Pension No.
District:
Under the Old-age Pensions Acts, 1898, 1900, 1901, and 1902.

STIPENDIARY MAGISTRATE'S CERTIFICATE OF RENEWAL OF PENSION.

The Deputy Registrar for the Old-age Pension District.
I HEREBY certify that I have investigated the income and property statement of [Name, occupation, and address], for the income-year ended the day of , 19 , and am satisfied on the following points:—

The pensioner's income was .. .. .. £
The pensioner's husband's [or wife's] income was .. £

Deduction on account of income, being amount in excess of £34, £ .
The gross value of pensioner's property is .. .. £
Less allowance by Act .. .. .. £50
Less encumbrances, &c. .. .. £ —
£

Making the net value of property.. .. .. £

The gross value of pensioner's husband's [or wife's] property is .. .. .. .. £
Less allowance by Act.. .. .. £50
Less encumbrances, &c. .. .. £ —
£

Making the net value of property.. .. .. £

Deduction on account of property, being £1 in every £15 in net value, £ .

The conditions of section 8 of the aforesaid Act of 1898 have been complied with [or, as the case may be, have not been complied with in so far as relates to subsection numbered of that section].

For the year commencing on the 1st day of , 19 , the pensioner is entitled to a pension of £ , payable by twelve monthly instalments of £ : : , at the post-office money-order office at [or, as the case may be, is not entitled to a pension].

Dated at , this day of , 19 .
, Stipendiary Magistrate.

This form is to be noted by the Deputy Registrar and despatched to the Registrar at Wellington immediately after the receipt thereof.

Pension-certificate No. issued to D.R. , , 19 .

Form 23 (Reg. 54).

Under “The Old-age Pensions Act, 1898.”

ORDER IN RESPECT OF PENSION-CERTIFICATE.

Name of pensioner:
Name of district:
Pension-certificate No.

To the Deputy Registrar for the Old age Pension District.

I HEREBY give you notice that at the Court held at on the day of , 19 , the following order was made in respect of the above-mentioned pension-certificate [or, as the case may be, the following conviction was recorded] : [Set out full particulars, giving reason of order or conviction].

Date: , 19 .
, Clerk of the Court at .

Form 24 (Reg. 55).

Under “The Old-age Pensions Act, 1898.”

RETURN OF PENSION-CLAIMS ESTABLISHED DURING THE MONTH OF , 19 .

District:

, Deputy Registrar.

NOTE.—Where no new pensions granted, a “Nil” return must be forwarded.

Form 25 (Reg. 56).

(This form is to be supplied in the case of every death over the age of sixty-five, whether of a pensioner or not.)

Under “The Old-age Pensions Act, 1898.”

NOTICE OF DEATH.

To the Registrar of Old-age Pensions, Wellington.
I HAVE to advise that on the day of , 19 I received notice of the death of , who died on the day of , 19 , aged , and that I believe him to have been a pensioner [or otherwise, as the case may be].

Dated at , this day of , 19 .
, Registrar of Deaths.

Form 26 (Reg. 58).

Under “The Old-age Pensions Act, 1898.”

RETURN FROM CHARITABLE INSTITUTION, UNDER REGULATION NO. 58, FOR THE QUARTER ENDED , 19 .

NAMES and addresses of old-age pensioners who applied for admission to the :—

, Secretary of the .

Date:

As witness the hand of His Excellency the Governor, this thirteenth day of February, one thousand nine hundred and three.

W. C. WALKER,
For Colonial Treasurer.

Removal of Restrictions on Alienation of Native Lands.

RANFURLY, Governor.

WHEREAS prior to the coming into operation of “The Maori Lands Administration Act, 1900,” application had been made to the Governor by the owners of the lands described in the Schedule hereto, praying that the restrictions on the alienation of such lands, as set forth in the Native Land Court certificates of title bearing date the twenty-seventh day of August, one thousand eight hundred and eighty-three, may be removed: And whereas inquiry has been duly made by the Native Land Court, and the said Court has recommended that such restrictions be removed:

Now, therefore, His Excellency the Governor of the Colony of New Zealand, in pursuance and exercise of the powers conferred upon him by the fifty-second section of “The Native Land Court Act, 1894,” and in accordance with the recommendation of the Native Land Court, doth hereby order and declare that all restrictions imposed by the said Native Land Court certificates of title on the alienation of the said land are hereby removed.

SCHEDULE.

All that parcel of land, containing 7 acres, more or less, situate in the Provincial District of Auckland, known as Torohanga, held under certificate of the Native Land Court, dated the 27th day of August, 1883, in favour of Henare Whakarongohau and others, and containing the following restrictions: “Inalienable, except with the consent of the Governor, by sale or mortgage, or by lease for a longer period than twenty-one years.”

All that parcel of land, containing 5 acres, more or less, situate in the Provincial District of Auckland, known as Maropeke, held under certificate of the Native Land Court, dated the 27th day of August, 1883, in favour of Repiu Tokata and others, and containing the following restrictions: “Inalienable, except with the consent of the Governor, by sale or mortgage, or by lease for a longer period than twenty-one years.”

As witness the hand of His Excellency the Governor, this sixth day of February, one thousand nine hundred and three.

J. CARROLL.

Approved in Council.

J. F. ANDREWS,
Acting Clerk of the Executive Council.