✨ Old-age Pension Forms
Jan. 31.] THE NEW ZEALAND GAZETTE. 393
[Form C (Reg. 6).
[This form must be used before the claim is submitted to the Magistrate.]
Under the Old-age Pensions Acts, 1908 and 1909.
From the Registrar, Old-age Pensions, , to the Commissioner, Old-age Pensions, Wellington.
Sir,–
As the person named on the back hereof has made application for a pension [or is drawing a pension] under the above-named Acts, I have the honour to request that you will supply the information asked for in regard to—
(1.) Property and money on mortgage now owned.
(2.) Property transferred and money on mortgage transferred or discharged since 1st November, 1898.
Date: , 19 . , Registrar.
Information supplied as requested. , Commissioner.
Date: , 19 .
[To be filled in by Registrar.]
Claim No. [or, if renewal, Pension No. ].
| Full Name. | Occupation. | Present Address. | Former Address. |
|---|---|---|---|
| Applicant: | |||
| Applicant’s husband [wife] [Required even if deceased]: |
[To be filled in from Books of Tax and Valuation Departments.]
Particulars of Freehold and Leasehold Property now owned.
| Valuation No. | Description. | Freehold or Leasehold. | Area. | Capital Value or Lessee’s Interest. | Amount. | £ s. d. | In name of applicant,– | In name of husband [wife],– |
|---|---|---|---|---|---|---|---|---|
| A. R. P. |
Particulars of Property transferred, and Mortgage discharged or transferred, since 1st November, 1898.
| Valuation No. | Description. | Freehold or Leasehold. | Area. | Con- sideration. | Date of Transfer. | Value. | £ s. d. | In name of applicant,– | In name of husband [wife],– |
|---|---|---|---|---|---|---|---|---|---|
| A. R. P. |
—
[Form D (Reg. 6).
[This form must be used before the claim is submitted to the Magistrate.]
Under the Old-age Pensions Acts, 1908 and 1909.
From the Registrar of Old-age Pensions, , to the Chief Postmaster,
As the person named on back hereof has applied for a pension [or is drawing a pension] under the above-named Acts, I have to request that you will furnish, in the space set apart for the purpose, particulars of any savings-bank account you may have recorded in the names of the applicant or the applicant’s husband [or wife].
Date: , 19 . , Registrar.
To the Registrar of Old-age Pensions, .
The particulars asked for are herewith supplied as requested.
Date: , 19 . , Chief Postmaster.
[To be filled in by the Registrar.]
| Full Name. | Occupation. | Present Address in full. | Former Address in full. |
|---|---|---|---|
| Applicant: | |||
| Applicant’s husband [or wife]: |
[To be filled in by the Chief Postmaster.]
| Number of P.O.S.B. Account. | Amount at Credit. | During last Twelve Months. | If Account closed, give Particulars of Closing Withdrawal. |
|---|---|---|---|
| Amount deposited. | Amount withdrawn. | ||
| In name of applicant,– | £ s. d. | £ s.d. | £ s.d. |
| In name of husband [or wife] of applicant,– |
—
Confidential.]
[Form E (Reg. 6). (For claims only.)
[This form must be used before the claim is submitted to the Magistrate.]
Under the Old-age Pensions Acts, 1908 and 1909.
From the Registrar of Old-age Pensions, , to the Police,
Claim No. . Full name: .
Occupation: .
Present address: .
Former address: .
As the person named above has made application for a pension under the above-quoted Acts, I have the honour to request that you will be kind enough to answer the questions printed on the back hereof.
Will you kindly note that all information is to be procured by officers in plain clothes, so as to avoid any unpleasantness that might otherwise occur.
Date: , 19 . , Registrar.*
*NOTE FOR REGISTRARS.—If applicant has resided in more than one district, inquiry is also to be made in the district previously lived in.
To the Registrar of Old-age Pensions, .
The questions asked have been duly answered as requested.
…………
At .
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NZ Gazette 1910, No 9
✨ LLM interpretation of page content
🏥
Old-age Pensions Act - Information Request from Registrar to Commissioner
(continued from previous page)
🏥 Health & Social WelfareOld-age pensions, Registrar, Commissioner, Property, Mortgage, Transfers
🏥
Old-age Pensions Act - Information Request from Registrar to Chief Postmaster
(continued from previous page)
🏥 Health & Social WelfareOld-age pensions, Registrar, Chief Postmaster, Savings bank account, Post Office Savings Bank
🏥
Old-age Pensions Act - Information Request from Registrar to Police
(continued from previous page)
🏥 Health & Social WelfareOld-age pensions, Registrar, Police, Confidential inquiry, Applicant details