848
THE NEW ZEALAND GAZETTE
[No. 23

6. The special order making a special rate of
   in the pound on all rateable property in
   the said special-rating district was duly made or adopted on the
   day of
   , 19
   , and
   confirmed on the
   day of
   , 19
   ; and public notifications thereof were duly given
   in the
   newspaper of the
   , 19
   , and in the New Zealand Gazette of the
   , 19
   (page
   ). A copy of the special order, under seal, is hereto attached, marked “ C.”

7. The rateable valuation of all rateable property in the special-rating district is £
   , and the
   special rate of
   in the pound thereon will yield an annual sum of £
   , which is sufficient
   to meet 10 per centum more than the periodical payments in respect of the loan as they fall due.

8. All statutory and other proceedings have been duly taken and all conditions have been duly
   fulfilled which are necessary for the raising of the said loan and for the making of the said special rate
   as a security therefor.

9. A copy of each of the newspapers referred to in this application is forwarded herewith * [and
   also a copy of the special roll and a tracing or map of the special-rating area].

• [10. The special roll was prepared in accordance with section 3 of the Local Bodies’ Loans Act,
  1908, as amended by section 22 of the Local Bodies’ Loans Amendment Act, 1908, and deposited
  for public inspection at the office of the [Name of local authority] from
  to
  , 19
  ;
  and public notice thereof was published in the
  newspaper on the
  day of
  ,
  19
  , and no valid objection was lodged against the said roll.]

A. B.,
Mayor [or Chairman, or Clerk].

Form No. 3c.

Application for a Loan under the New Zealand State-guaranteed Advances Act, 1909.

(Where loan to be raised by special order only.)

Application of [Name of local authority].
Amount of loan applied for: £
.
Term of loan: 36½ years, on the instalment system.
Purpose for which loan required:
.
Special-rating district or area:
.
Date of application:
.

To the Superintendent (Advances to Local Authorities Branch), New Zealand State-guaranteed
Advances Office, Wellington.

1. THE above-named local authority hereby applies for a loan of £
   , in respect of which a
   preliminary application was made on the
   day of
   , 19
   , and provisionally approved
   by the New Zealand State-guaranteed Advances Board, as notified by you on the
   day of
   , 19
   .

2. The terms and conditions on which this loan is applied for are,—
   (a.) The loan is for the purpose of [State purpose].
   (b.) The rate of interest to be
   per centum per annum.
   (c.) The term to be 36½ years, and loan to be repaid by instalments in accordance with the
   appropriate table.
   (d.) The loan-money to be paid over on the
   day of
   , 19
   [or in instalments
   of (State amounts and dates of instalments of loan)].
   (e.) The security for repayment of the loan is,—
   (i.) A special rate of
   in the pound over [Describe special-rating district
   or area].
   (ii.) [State any other security.]

3. The special order authorising the raising of the loan was duly made or adopted on the
   day of
   , 19
   , and confirmed on the
   day of
   , 19
   ; and public notifications
   thereof were duly given in the
   newspaper of the
   , 19
   . A copy of the special order,
   under seal, is hereto attached, marked “ A.”

4. The special order making a special rate of
   in the pound on all rateable property in
   the [Name of special-rating district] was duly made or adopted on the
   day of
   , 19
   ,
   and confirmed on the
   day of
   , 19
   ; and public notifications thereof were duly given
   in the
   newspaper of the
   , 19
   , and in the New Zealand Gazette of the
   , 19
   (page
   ). A copy of the special order, under seal, is hereto attached, marked “ B.”

5. The rateable valuation of all rateable property in the special-rating district is £
   , and the
   special rate of
   in the pound thereon will yield an annual sum of £
   , which is sufficient
   to meet ten per centum more than the periodical payments in respect of the loan as they fall due.

6. All statutory and other proceedings have been duly taken and all conditions have been duly
   fulfilled which are necessary for the raising of the said loan and for the making of the said special rate
   as a security therefor.

7. A copy of each of the newspapers referred to in this application is forwarded herewith.

A. B.,
Mayor [or Chairman, or Clerk].

Form No. 4.

Declaration verifying Application for Loan.

I, A. B., Mayor [or Chairman, or Clerk] of [Name of local authority], do solemnly and sincerely declare
that the statements contained in the foregoing application are true and correct in every particular.

• Only required where special-rating area is not a legal subdivision of a district.