Jan. 31.] THE NEW ZEALAND GAZETTE. 395

[Form H (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, at , to .
Mr. , an applicant for an old-age pension, states that you have known him as a resident of [State town or district], in New Zealand, for a period of years. If you are able to do so, I shall be obliged if you will complete the certificate below, and return it to me as speedily as possible, as no pension can be granted until the information is supplied, and any delay may cause inconvenience to the applicant.

Date: , 19 . , Registrar.

The Registrar, Old-age Pensions, at .

This is to certify that I have known Mr. for a period of years as a resident of [State town or district]. During that time he has resided continuously in New Zealand, his character has been , and I believe him to be eligible to receive the old-age pension.

Date: , 19 . [Signature.]

Confidential.] [Form I (Reg. 6).
[This form is to be answered before claim is submitted to the Magistrate.]

Under the Old-age Pensions Acts, 1908 and 1909.

From the Registrar, Old-age Pensions, , to .
Claim (or Pension) No. .
Name: .
Address: .

THE above-named applicant for pension [or renewal of pension] states that his property is mortgaged to you for the sum of £ . I shall be obliged if you will state hereunder the amount actually owing on the , 19 (date of expiry of income-year), and of any payments that were made during the preceding twelve months in reduction of the amount owing.

Date: , 19 . , Registrar.

To the Registrar, Old-age Pensions, .

The actual amount owing on the , 19 , by the above-named applicant by way of mortgage was £ .

The amount paid in reduction of the mortgage during the preceding twelve months was £ .

Date: , 19 . (Signed) .

Confidential.] [Form J (Reg. 43).

Under the Old-age Pensions Acts, 1908 and 1909.

From the Registrar of Old-age Pensions, , to the Police, .

Pension No. . Name of Pensioner: .
Occupation: .
Address: .
Name of wife [or husband]: .

AN application for renewal of pension having been made by the above-named pensioner, I shall be glad if you will answer the questions set out on back hereof, and report generally as to pensioner’s character during the past twelve months.

The required information should not be obtained by interviewing the pensioner unless specially requested.

Date: , 19 . , Registrar.

To the Registrar of Old-age Pensions, .
Report herewith as requested.
Date: , 19 . (Signed) .

NOTE.—This form is to be attached to Income and Property Statement when the latter is forwarded to the Magistrate for investigation.

[Form 2 (Reg. 4).
PENSION-CLAIM REGISTER.

[Form 3 (Reg. 7).
Under the Old-age Pensions Acts, 1908 and 1909.

NOTICE TO ATTEND COURT.

To , .

Claim [or Pension] No. .

TAKE notice that the investigation of the above-numbered application for pension [or renewal of pension] will be held at the Courthouse at , on day, the day of , 19 , at o’clock in the noon, and that the Magistrate desires you to appear in support thereof.

If you are the owner of property of any kind, or if you have disposed of property, please bring with you any evidence you may have of the value of such property (such as valua-