Oct. 15.] THE NEW ZEALAND GAZETTE. 3777

occupation of pastoral lands in the Hauraki Mining District,
of Section , Block , Survey District,
comprising acres roods perches, do
hereby apply to the Land Board for permission to purchase
part of the land comprised in the license—viz., acres
approximately, as shown on map attached.

If the application is granted, I understand that I am re-
quired, within three months from the date of the grant of the
application, to lodge an application to purchase, and de-
claration in the prescribed forms, together with a survey
plan of the area to be acquired in fee-simple, such survey
plan to be made and certified by a licensed surveyor at my
expense.

[Signature of Applicant.]

Form No. 7.

NOTICE OF INTENTION TO PURCHASE THE FEE-SIMPLE OF
PART OF THE LAND COMPRISED IN A LICENSE TO OCCUPY
PASTORAL LANDS IN THE HAURAKI MINING DISTRICT.

(Under Section 28 of the Land Laws Amendment Act, 1913.)
I, [Name in full, address, and occupation], being the owner
of License No. , issued under the regulations for the
occupation of pastoral lands within the Hauraki Mining Dis-
trict, of Section , Block , Survey Dis-
trict, comprising acres roods perches,
do hereby give notice in pursuance of the above-mentioned
section 28 of my intention to purchase the fee-simple of part
of the land comprised in the said license—viz., acres
roods perches, as shown on the accompany-
ing survey plan; and I do hereby elect to purchase for cash
[or on deferred payments].

I enclose herewith a statutory declaration that I am not
debarred from exercising my right of purchase by reason of
the provisions of section 97 of the Land Act, 1908.

Dated at this day of , 19 .

[Signature of Lessee.]

Form No. 8.

DECLARATION BY OWNER OF LICENSE TO OCCUPY PASTORAL
LANDS IN THE HAURAKI MINING DISTRICT ON NOTIFYING
INTENTION TO PURCHASE THE FEE-SIMPLE OF PART OF
THE LAND COMPRISED IN HIS LICENSE.

(Under Section 28 of the Land Laws Amendment Act, 1913.)
I, [Name in full, address, and occupation], do solemnly and
sincerely declare—

1. That I am the owner of License No. , issued
   under the regulations for the occupation of pastoral lands
   within the Hauraki Mining District, of Section ,
   Block , situated in the Survey District, com-
   prising acres roods perches.

2. That I have complied with all the conditions of such
   license.

3. That in pursuance of the provisions of section 28 of the
   Land Laws Amendment Act, 1913, I have given notice,
   dated the day of , 19 , to the Comis-
   sioner of Crown Lands for the Land District, of my
   intention to purchase the fee-simple of part of the land
   comprised in the said license—viz., acres roods
   perches.

4. That the total area I have applied to purchase, together
   with all other land owned, held, or occupied by me under
   any tenure (but exclusive of that part of the land comprised
   in the license before mentioned, of which I do not propose to
   acquire the fee-simple), whether severally or jointly with any
   other person, does not exceed a total area of 5,000 acres com-
   puted as follows:—

(a.) Every acre of first-class land is reckoned as 7½ acres.
(b.) Every acre of second-class land is reckoned as 2½ acres.
(c.) Every acre of third-class land is reckoned as 1 acre.

And I make this solemn declaration conscientiously be-
lieving the same to be true, and by virtue of the Justices
of the Peace Act, 1908.

Declared at this day of , 19 .

A. B.,
Justice of the Peace
[or Solicitor of the Supreme Court,
or Notary Public].

Form No. 9.

NOTICE BY COMMISSIONER OF CROWN LANDS OF RECEIPT
OF NOTICE BY LICENSEE OF INTENTION TO PURCHASE FOR
CASH THE FEE-SIMPLE OF PART OF THE LAND COMPRISED
IN A LICENSE TO OCCUPY PASTORAL LANDS WITHIN THE
HAURAKI MINING DISTRICT.

(Under Section 28 of the Land Laws Amendment Act, 1913.)
Section , Block , Survey District:
acres roods perches.

I HAVE to acknowledge receipt of your notice of intention to
purchase for cash the fee-simple of part of the above-men-
tioned land—viz., an area of acres roods
perches—received by me on the day of
, 19 . I have to give you notice that the price
of the land you desire to purchase as determined in accordance
with section 28 of the Land Laws Amendment Act, 1913,
and the regulations, is £ .

The freehold title will issue on payment of the undermen-
tioned amounts to the Receiver of Land Revenue not later
than the day of , 19 [Three months after
receipt of notice to purchase]:—

Crown-grant fee .. .. .. £
Price .. .. .. .. £
Rent up to the day of , 19
[Date of receipt of notice to purchase] .. £

To this amount must be added interest on the price at the
rate of 5 per cent. per annum from the day of
19 [Date of receipt of notice to purchase], to the date of
payment of the price—namely, per day.

Your license must be delivered up to the Commissioner
before the issue of the freehold title.

If the above amount is not paid on or before the
day of , 19 [Three months after receipt of
notice to purchase], the contract of purchase may be can-
celled by the Land Board, in which case you will have no
right to give any further notice of intention to purchase
until the expiry of the period of five years from the date of
the first notice.

Dated at this day of , 19 .

…………

Commissioner of Crown Lands.

Form No. 10.

NOTICE BY COMMISSIONER OF CROWN LANDS OF RECEIPT
OF NOTICE BY LICENSEE OF INTENTION TO PURCHASE ON
DEFERRED PAYMENT THE FEE-SIMPLE OF PART OF THE
LAND COMPRISED IN A LICENSE TO OCCUPY PASTORAL
LANDS WITHIN THE HAURAKI MINING DISTRICT.

(Under section 28 of the Land Laws Amendment Act, 1913.)
Section , Block , Survey District:
acres roods perches.

I HAVE to acknowledge the receipt of your notice of intention
to purchase on deferred payment the fee-simple of part of
the above-mentioned land—viz., an area of acres
roods perches—received by me on the
day of , 19 .

I have to give you notice that the price of the land you
desire to purchase, as determined in accordance with sec-
tion 28 of the Land Laws Amendment Act, 1913, and the
regulations, is £ .

The license to occupy will issue on payment of the under-
mentioned amounts to the Receiver of Land Revenue not
later than the day of , 19 [Three months
after receipt of notice to purchase]:—

License fee .. .. .. £1 1s. 0d.
Deposit of 5 per cent. of price .. £
Rent due up to [Date of receipt of notice
to purchase] .. .. £

Your license must be delivered up to the Commissioner
before the issue of the license to occupy.

If the above amount is not paid on or before the
day of , 19 [Three months after receipt of notice to pur-
chase], the contract of purchase may be cancelled by the
Land Board, in which case no further notice of intention to
purchase will be accepted until the expiry of a period of five
years from the date of the first notice.

Dated at the day of , 19 .

…………

Commissioner of Crown Lands.

Form No. 11.

OCCUPATION LICENSE ISSUED UNDER SECTION 28 OF THE
LAND LAWS AMENDMENT ACT, 1913, ON THE PURCHASE
ON DEFERRED PAYMENT OF PART OF THE LAND INCLUDED
IN A LICENSE TO OCCUPY PASTORAL LANDS WITHIN THE
HAURAKI MINING DISTRICT.

This deed, made the day of , 19 , be-
tween His Majesty the King, of the one part, and of
(who with his executors, administrators, and assigns
is hereinafter referred to as “the licensee”), of the other
part:

Whereas the licensee, being the owner of a license, issued
under the regulations for the occupation of pastoral lands
within the Hauraki Mining District, of Section ,
Block , Survey District, comprising
acres roods perches, did, on the
day of , 19 , in pursuance and exercise of the
right of purchase conferred upon him by section 28 of the
Land Laws Amendment Act, 1913, give notice to the Com-
missioner of Crown Lands of his intention to purchase on