May 7.] THE NEW ZEALAND GAZETTE. 1955

thereof: And the licensee doth hereby covenant with His Majesty the King, in manner following:—

1. The licensee will pay to His Majesty the balance of 95 per cent. of the aforesaid price of the said land by nineteen equal annual instalments of , the first of such payments to be made on the day of , 19 [One year after the date of delivery of the notice to purchase]: Provided always that the licensee shall be at liberty at any earlier time or times to pay to His Majesty the whole or any part or parts of the said price; and all moneys so paid under this proviso shall to the extent thereof be deemed and taken to be paid in satisfaction and performance of the obligations of the licensee under the foregoing covenant.
2. The licensee will pay to His Majesty interest at the rate of 5 per centum per annum on such part of the said price as is for the time being unpaid by half-yearly payments, on the day of and the day of [Six months and twelve months from delivery of notice to purchase] in each year, the first of such payments to be made on the day of , 19 , in respect of the preceding period of six calendar months.
3. The licensee will not at any time during the continuance of the license, without the previous consent in writing of the Land Board of the land district in which the said land is situated, cut any timber on the said land, or remove any minerals therefrom, or commit any other species of waste in respect thereof:
   Provided always, and it is hereby agreed and declared, that if the licensee make default in the due and full payment of any instalment of the said price, or of any interest due in respect thereof, the aforesaid Land Board may cause to be given to the licensee, or to any person who is for the time being in occupation of the land or of any part thereof, notice under the hand of the Commissioner of Crown Lands that if the moneys so in arrear are not paid within one calendar month after the date of the notice the Land Board will forfeit this license: And it is hereby agreed and declared that if the moneys so in arrear are not paid within one calendar month after the date of the aforesaid notice the Land Board may, in its discretion, without any further or other notice, by resolution, forfeit this license, and thereupon the license and the contract between His Majesty and the licensee for the purchase of the land, and the interest of the licensee in the said land, shall absolutely cease and determine, and all moneys theretofore paid by the licensee under this license, or in respect of the said contract shall remain the property of His Majesty; but no such forfeiture shall relieve the licensee from his obligation to pay to His Majesty any moneys in arrear under this license at the date of such forfeiture, or from any liability for any breach theretofore committed of the covenants herein expressed.

In witness whereof the Commissioner of Crown Lands for the Land District of , on behalf of His Majesty the King, has hereunto set his hand, and these presents have also been executed by the licensee.

THE SCHEDULE.
[Description of land.]

Signed by the Commissioner of Crown Lands, on behalf of His Majesty the King, in the presence of

……………
Commissioner of Crown Lands.

Signed by the above-named licensee, in the presence of

……………
Licensee.

Form No 6.

APPLICATION FOR PERMISSION TO PURCHASE PART OF THE LAND COMPRISED IN A LEASE IN PERPETUITY OF SETTLEMENT LAND.

(Under Part IV of the Land Laws Amendment Act, 1913.)
I, (Name in full, address, and occupation), being the holder of Lease No. , under the lease-in-perpetuity tenure, of Section , Block , Survey District, Settlement, comprising an area of acres roods perches, do hereby apply to the Land Board for permission to purchase part of the land comprised in the lease—viz., acres approximately—as shown on map attached.
If the application be granted, I understand that I am required, within three months from the date of the grant of the application, to lodge an application to purchase, and declaration in the prescribed forms, together with a survey plan of the area to be acquired on 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 LEASE IN PERPETUITY OF SETTLEMENT LAND.

(Under Part IV of the Land Laws Amendment Act, 1913.)
I, [Name in full, address, and occupation], being the owner of lease No. , under the lease-in-perpetuity tenure, of Section , Block , Survey District, Settlement, comprising acres roods perches, do hereby give notice, in pursuance of the above-mentioned Act, of my intention to purchase the fee-simple of part of the land comprised in the said lease—viz., acres roods perches, as shown on the accompanying 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 60 of the Land Laws Amendment Act, 1912.
Dated at , this day of , 19 .
[Signature of lessee.]

Form No. 8.

DECLARATION BY OWNER OF LEASE IN PERPETUITY OF SETTLEMENT LAND ON NOTIFYING INTENTION TO PURCHASE THE FEE-SIMPLE OF PART OF THE LAND COMPRISED IN HIS LEASE.

(Under Part IV 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 lease No. , under the lease-in-perpetuity tenure, of Section , Block , situated in the Survey District, Settlement, comprising acres roods perches.
2. That, in pursuance of the provisions of Part IV of the Land Laws Amendment Act, 1913, I have given notice, dated the day of , 19 , to the Commissioner of Crown Lands for the Land District, of my intention to purchase the fee-simple of part of the land comprised in the said lease—viz., acres roods perches.
3. 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 lease 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 3,000 acres computed 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 believing the same to be true, and by virtue of the Justices of the Peace Act, 1908.
   Declared at , this day of , 19 , before me

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 LESSEE OF INTENTION TO PURCHASE FOR CASH THE FEE-SIMPLE OF PART OF THE LAND COMPRISED IN A LEASE IN PERPETUITY OF SETTLEMENT LAND.

(Under Part IV of the Land Laws Amendment Act, 1913.)
Section , Block , Survey District, Settlement: 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-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 section 60 of the Land Laws Amendment Act, 1913, is .
The freehold title will issue on payment of the undermentioned 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]: £ .