Feb. 2.] THE NEW ZEALAND GAZETTE. 427

The total amount already owing on the security of rates over the rateable property in the said area is £

The amount collected annually on those rates is £

The security offered for the proposed loan is [State particulars of special rate and of any other security* offered for the loan].

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

• NOTE.—Collateral security is required in every case where a loan is granted for the construction of a revenue-producing work, the security required to include the work itself as well as the special rate.

Form No. 2.
Provisional Approval of Loan.

New Zealand State-guaranteed Advances Office
(Advances to Local Authorities Branch),
Wellington, , 19 .

Memorandum for the Mayor [or Chairman].

THE New Zealand State-guaranteed Advances Board has this day provisionally approved of the application of the [Name of local authority], dated the day of 19 , for a loan of £ for the purpose of .

This provisional approval is subject to the provisions of the New Zealand State-guaranteed Advances Act, 1909, and the regulations made thereunder, and is given on the following terms and conditions :—

(1.) The amount of the loan to be £ .

(2.) The term of the loan to be thirty-six years and a half.

(3.) The rate of interest to be per centum per annum.

(4.) The half-yearly instalment in respect of principal and interest to be £ s. d. for each £100 of the loan.

(5.) Loan is to be secured by [State particulars of special rate and of any other security to be given for the loan].

(6.) All statutory and other proceedings necessary for raising the loan to be duly taken.

(7.) [State any other conditions on which loan to be granted.]

, Superintendent.

Form No. 3.
Application for a Loan under the New Zealand State-guaranteed Advances Act, 1909.

(Where proposal approved by poll of ratepayers.)

Application of [Name of local authority].

Amount of loan applied for : £

Term of loan : Thirty-six years and a half, 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 thirty-six years and a half, and loan to be repaid by instalments in accordance with the appropriate table.

(d.) The loan-money is required on the day of , 19 [or in instalments of (State amounts and dates of instalments of loan, not exceeding five)].

(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 proposal to raise the loan has been duly submitted to and approved by the ratepayers of the [Name of special-rating district] as by law required.

4. The notice of intention to raise the loan was duly published in the newspaper once in each week for four successive weeks—namely, on the , 19 .

5. The notice of the poll of ratepayers was published in the newspaper of the day of , 19 , and the proposal to raise the loan was duly carried at that poll taken on the day of , 19 . Notice of the result of the poll was published in the New Zealand Gazette of the , 19 (page ), and also in the newspaper of the day of , 19 .