Jan. 14.] THE NEW ZEALAND GAZETTE. 169

12. RETURN OF INCOME BY COMPANY FORMED FOR MINING PURPOSES.

The Land and Income Assessment Act, 1908, and its amendments.

In pursuance of the above Acts and of the regulations made thereunder, every company formed for mining purposes in receipt of income within the meaning of the said Acts is required to fill up the following return as far as 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, on or before the day of , 19 .

, Commissioner of Taxes.

RETURN of the Income of [Name of company in full and postal address], made in pursuance of the Land and Income Assessment Act, 1908, and its amendments, and the Regulations thereunder.

TOTAL dividends paid during the year ending , 19 :
£
Half the above amount.. .. .. £
Income from other sources (i.e., from sources other than mining) as per details attached

Total net income .. .. £

I, , the duly appointed public officer of the above-named company, do solemnly and sincerely declare that the foregoing return is true and accurate in every particular, and that the copy of the balance-sheet and profit and loss account hereto attached is a true copy of the balance-sheet and profit and loss account of the said company issued to shareholders, or prepared for issue, last prior to the date of this return. 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.]

Return as Agent for Debenture-holders [as in Form 9].

Return of Persons in the Service or Employ of the Company [as in Form 6].

Return of Directors, Auditors, and Others [as in Form 9].

13. RETURN OF INCOME BY AGENT, CONSIGNEE, OR NON-RESIDENT TRADER.

The Land and Income Assessment Act, 1908, and its amendments.

In pursuance of the above Acts and of the regulations made thereunder, every agent for a non-resident trader, every consignee, and every non-resident trader within the meaning of the said Acts, is required to fill up the following return as far as is applicable to his particular case, and deliver the same at, or forward it by post to, the office of the Commissioner of Taxes, Wellington, on or before the day of , 19 .

, Commissioner of Taxes.

Name in full :
Postal address :
Occupation :

Return as Agent for Non-resident Trader (made in pursuance of the Land and Income Assessment Act, 1908, and its amendments, and the Regulations thereunder).

INCOME derived during the year ending 31st March, 19 , from business carried on in New Zealand, as per details shown on page 2 : £

I, the person making the foregoing return, do solemnly and sincerely declare that it contains true and accurate details of the several matters and things set forth. 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.]

Return as Consignee (made in pursuance of the Land and Income Assessment Act, 1908, and its amendments, and the Regulations thereunder).

INCOME derived during the year ending 31st March, 19 , from the sale of goods received from abroad and sold in New Zealand on consignment account, as per details shown on page 3 : £

I, the person making the foregoing return, do solemnly and sincerely declare that it contains true and accurate details of the several matters and things set forth. 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.]

Business carried on in New Zealand by Non-resident Traders.

Total .. .. .. £

Goods received from Abroad and sold in New Zealand on Consignment Account.

Total .. £ .. £

14. RETURN OF TOTAL BUSINESS DONE IN NEW ZEALAND, EITHER DIRECTLY OR INDIRECTLY, BY NON-RESIDENT AGENTS OR NON-RESIDENT TRADERS.

The Land and Income Assessment Act, 1908, and its amendments.

Name of principal :
Occupation :
Address :

Total .. .. ..

I, the person making this return, do solemnly and sincerely declare that it contains the whole of the business resulting from the New Zealand visit. And I make this declaration under the provisions of the Land and Income Assessment Act, 1908, and its amendments.

Signature of Non-resident Agent or Non-resident Trader :
Address :
Date :

15. WARRANT TO NON-RESIDENT AGENT OR NON-RESIDENT TRADER.

The Land and Income Assessment Act, 1908, and its amendments.

To ,

I, , Commissioner of Taxes within the Dominion of New Zealand, do, by virtue of the authority conferred on me by section 10 of the Land and Income Assessment Act, 1908 (endorsed on back hereof), hereby grant you, the said , a warrant to act as a non-resident agent or a non-resident trader within New Zealand for or on behalf of the following principal or principals :

This warrant shall continue in force during your present tour of New Zealand only. Prior to leaving New Zealand you are required to post it to me from your port of departure.

, Commissioner of Taxes, Wellington.

Dated this day of , 19 .

Countersigned by , Collector of Customs at

Section 10 of the Land and Income Assessment Act, 1908, as amended by Section 8 of the Land and Income Assessment Amendment Act, 1912.

NON-RESIDENT AGENTS AND NON-RESIDENT TRADERS.

Provisions as to non-resident agents and non-resident traders.

10. With respect to non-resident agents and non-resident traders the following special provisions shall apply, anything in this Act to the contrary notwithstanding :—