2598

THE NEW ZEALAND GAZETTE.

[No. 68

SCHEDULES.

FIRST SCHEDULE.

Regulations under the Government Advances to Settlers Act, 1894, dated the 3rd December, 1894,
and published in the New Zealand Gazette of the 6th December, 1894, p. 1767.

Regulations under the Government Advances to Settlers Act, 1894, dated the 25th April, 1895, and
published in the New Zealand Gazette of the 9th May, 1895, p. 762.

Regulations under the Government Advances to Settlers Act, 1894, dated the 22nd May, 1897, and
published in the New Zealand Gazette of the 27th May, 1897, p. 1098.

Regulations under the Government Advances to Settlers Act, 1894, dated the 15th February, 1898,
and published in the New Zealand Gazette of the 17th February, 1898, p. 310.

Regulations under the Government Advances to Workers Act, 1906, dated the 17th December, 1906,
and published in the New Zealand Gazette of the 20th December, 1906, p. 3221.

Regulations (prescribing valuation fees, &c.) under the New Zealand State-guaranteed Advances Act,
1909, dated the 14th March, 1910, and published in the New Zealand Gazette of the 18th March,
1910, p. 842.

Regulations (relating to the classification of securities) under the New Zealand State-guaranteed
Advances Amendment Act, 1910, dated the 17th October, 1910, and published in the New Zealand
Gazette of the 17th November, 1910, p. 3993.

SECOND SCHEDULE.

Declaration by Officers on Appointment under the New Zealand State-guaranteed Advances Act, 1909.

I, [Name in full, address, and occupation], do hereby declare that I will truly and faithfully, according
to the best of my skill and knowledge, perform the duties imposed upon me by the New Zealand State-
guaranteed Advances Act, 1909, or by the regulations for the time being in force thereunder, or other-
wise in respect of any employment in or in connection with the Advances Office ; and that I will not
divulge or communicate to any person whomsoever, except in pursuance of my official duties and for
the purpose of carrying into effect the provisions of the said Act and the regulations thereunder, any
matter or thing coming to my knowledge in the performance of such duties in respect of the business
of the New Zealand State-guaranteed Advances Office, or otherwise in relation thereto.

[Signature of person making declaration.]

This declaration was made and subscribed before me at , this day of , 19 .

[Superintendent, Deputy Superintendent, or Justice of the Peace.]

THIRD SCHEDULE.

Application for Loan under the New Zealand State-guaranteed Advances Act, 1909 (Advances to Settlers Branch).

To the Superintendent, New Zealand State-guaranteed Advances Office, Wellington.

I, , hereby apply for an advance on mortgage under the provisions of the above-mentioned
Act, and I enclose £ , being the valuation fee as per scale in margin.

I also hereby agree to pay, on demand, the office solicitor’s costs and any other costs and expenses
arising out of this application whether the transaction be completed or not.

Signature of the applicant :
Occupation :
Address :

1. Have you previously had a loan from the Department ; and, if so, when ?
2. Amount of loan required (not exceeding three-fifths of the estimated value of the security offered) :
3. The purpose for which it is required :
4. Is applicant married or single ? State age :
5. Is the security freehold or leasehold ?
6. If freehold, is the title registered under the Land Transfer Act, or under the Deeds Registration
   Act ?
7. If leasehold, what is the class of lease ?
8. State sections and block, also survey district :
9. State area : acres roods perches, or frontage and depth :
10. How was the land acquired ? If by purchase, state when, from whom, and the amount of the pur-
    chase-money :
11. Where is security situated ?
12. Where are the title-deeds to be obtained ?
13. By whom is the property occupied ?
14. If it is let to a tenant, state the rent and terms of lease, and name of tenant :
    NOTE.—A copy of the lease should be forwarded for perusal with the application.
15. What roads give access to the land ?
16. State distance from (a) nearest railway-station (giving the name) :
    And (b) nearest post-office (giving the name) :
17. Is the property already mortgaged ? If so, state amount, and to whom :