164
THE NEW ZEALAND GAZETTE.
No. 3

pany being the owner of land in New Zealand, or being the
holder or owner of any mortgage or mortgages of land in
New Zealand, within the meaning of the said Acts, is hereby
required to duly make and furnish to me, in the prescribed
form, returns of such land and mortgages, on or before the
day of , 19 .

And further notice is hereby given that such returns shall
in all cases be delivered at or forwarded to the office of the
Commissioner of Taxes, in the Government Buildings, at
Wellington.

Dated this day of , 19 .
, Commissioner of Taxes.

3. NOTICE TO MAKE RETURNS OF INCOME UNDER THE LAND
   AND INCOME ASSESSMENT ACT, 1908, AND ITS AMENDMENTS.

Land and Income Tax Department,
Wellington, 19 .

NOTICE is hereby given that, in pursuance of the above Acts
and the regulations made thereunder, every person and com-
pany having derived income within the meaning of the said
Acts during the year ending 31st March, 19 , by any
means or from any source which is made the subject of taxa-
tion under the said Acts, is hereby required to duly make and
furnish to me, in the prescribed form, returns of such income
on or before the , 19 .

And further notice is hereby given that such returns shall
in all cases be delivered at or forwarded to the office of the
Commissioner of Taxes, in the Government Buildings, at
Wellington.

, Commissioner of Taxes.

4. RETURN OF LAND BY PERSON OR FIRM.

The Land and Income Assessment Act, 1908, and its amend-
ments.

In pursuance of the above Acts and of the regulations made
thereunder, every owner or lessee of land and every owner of
mortgages is required to fill up the following return as far as
the same is applicable to his particular case, and deliver the
same at, or forward it by post to, the office of the Commis-
sioner of Taxes, Wellington.

, Commissioner of Taxes.

RETURN of the Land and Mortgages of [Name in full, occupa-
tion, and postal address], made in pursuance of the Land
and Income Assessment Act, 1908, and its amendments,
and the Regulations thereunder, so far as respects all
Land owned or leased by me, and all Mortgages held by
me, as at noon on the 31st Day of March, 19 .

Ordinary Tax.

Unimproved value of land owned by
me (particulars on page 3 hereof) .. £
Add amount owing to me—
(a.) On registered mortgage of land £
(b.) Unpaid purchase-money for
land sold (particulars on
page 2 hereof) .. ..

Total .. .. .. £
Deduct amount owing by me—
(a.) On registered mortgage of land £
(b.) Unpaid purchase-money for
land bought (particulars on
page 2 hereof) .. ..

Balance .. .. £

Graduated Tax.

Unimproved value of land owned by
me (particulars on page 3 hereof). . .. £

I, the person making the foregoing return, do solemnly
and sincerely declare that the same, and the statements
therein referred to or accompanying such return, contain true
and accurate details of the several matters and things set
forth as at noon on the 31st day of March, 19 . And I
make this declaration under the provisions of the Land and
Income Assessment Act, 1908, and its amendments.

Dated this day of , 19 .
[Usual signature.]

Particulars of Money owing to me as at Noon on the 31st
March, 19 —(a) Secured on Registered Mortgage; (b) in
respect of Unpaid Purchase-money for Land sold.

Particulars of Money owing by me as at Noon on the 31st
March, 19 —(a) Secured on Registered Mortgage; (b) in
respect of Unpaid Purchase-money due to the Vendor for
Land bought.

Particulars of Land owned by or leased to me as at Noon
on the 31st March, 19 .

Sales of Land.

Names, Addresses, and Shares of Partners.

(To be filled up in the case of properties held by more than
one person.)

5. RETURN OF LAND BY COMPANY.

The Land and Income Assessment Act, 1908, and its amend-
ments.

In pursuance of the above Acts and of the regulations made
thereunder, every company being the owner or lessee of land
or owner of mortgages is required to fill up the following
return as far as the same is applicable to its particular case,
and deliver the same at, or forward it by post to, the office
of the Commissioner of Taxes, Wellington.

, Commissioner of Taxes.