3298
THE NEW ZEALAND GAZETTE.
[No. 81

the deceased, or gifts as set out in the said schedule, or vesting upon joint tenancy as set out in the said schedule, as
the case may be].
2. That to the best of my knowledge and belief no improvements had been effected on the said land between the
date of such valuation which was made under the Valuation of Land Act, 1908, on the day of , 191 ,
and the date referred to in paragraph 1 above other than improvements to the value of £ .
3. That I have estimated the above value for the purposes of this declaration.
And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Justices of
the Peace Act, 1908.
Declared at , by the said , this day)
of , one thousand nine hundred and , before :
me—
)
……………
A Solicitor of the Supreme Court of New Zealand.
A Justice of the Peace for the Dominion of New Zealand.

———

Form No. 31.
Death Duties Act, 1909.

DECLARATION to be annexed to the Eighth, Ninth, and Tenth Schedules, and to the Fourteenth, Fifteenth,
Sixteenth, Nineteenth, and Twenty-first Schedules, in so far as Scrip, Stock, and Shares in Banks, Com-
panies, or Societies, and Mortgages, Bonds, and Bills are comprised therein.

In the estate of

I, , of , do solemnly and sincerely declare,—

1. That I am not in any way interested in the distribution of the estate of the above-named deceased.
2. That I have examined the books and accounts of the deceased in respect of the property specified in the Eighth
   and Ninth Schedules hereto annexed, and that from information acquired by me I verily believe the particulars con-
   tained therein to be true, and to fully state the whole of the assets of the deceased of that nature.
3. That I am well acquainted with the market value of scrip, stock, and shares in banks and companies, similar
   to those mentioned in the [Insert the number of schedule] Schedule hereto annexed, and that to the best of my knowledge
   and belief the sums of money set opposite the respective items of the property enumerated therein represent the full
   and true market value of such property at the date of [Insert death of deceased, or gifts as set out in the said Schedule,
   or vesting upon joint tenancy as set out in the said Schedule, as the case may be].
4. That the total amount of that part of the dutiable estate of the deceased so represented in such Schedule[s] did
   not exceed in the aggregate the sum of pounds shillings and pence at the date mentioned.
5. That I am , and have carried on business at for a period of years.
   And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Justices
   of the Peace Act, 1908.
   Declared at , by the said , this day)
   of , one thousand nine hundred and , before :
   me—
   )
   ……………
   A Solicitor of the Supreme Court of New Zealand.
   A Justice of the Peace for the Dominion of New Zealand.

———

Form No. 32.
Death Duties Act, 1909.

DECLARATION to be annexed to the Twenty-fifth and Twenty-sixth Schedules.

In the estate of

I, , of , do solemnly and sincerely declare,—

1. That I am the administrator of the estate of the above deceased.
2. That to the best of my knowledge and belief the value of the real estate of the deceased situated out of New
   Zealand as set out in the Twenty-fifth Schedule annexed hereto is £ , and no more, and that the said sum
   of £ represents the full saleable value of the said real estate in the country in which the said real estate is
   situated at the date of the death of the said deceased.
3. That to the best of my knowledge and belief the value of the personal estate of the deceased, situated out of
   New Zealand as set out in the Twenty-sixth Schedule hereto annexed is £ , and no more, and that the said
   sum of £ represents the full saleable value of the said personal estate in the country within which the said personal
   estate is situated.
   And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Justices
   of the Peace Act, 1908.
   Declared at , by the said , this day)
   of , one thousand nine hundred and , before :
   me—
   )
   ……………
   A Solicitor of the Supreme Court of New Zealand.
   A Justice of the Peace for the Dominion of New Zealand.

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