New Zealand Gazette – 1917 – No. 86

Page 2056

✨ Tax Return Forms



2056
THE NEW ZEALAND GAZETTE.
No. 86

LAND HELD UNDER LEASE.

NOTE.—If the leaseholder has no saleable interest in a lease the property must, nevertheless, be entered, the value being given as nil.

Valuation No. District (County, Borough, or Town District) in which Land situated. No. of Lot, Section, Block, Survey District, Street, or other Reference to Locality. Date of Commencement and Term of Lease. If Lease contains a Purchasing Clause state as under: Capital Value, including Improvements. Unimproved Value. Value of Improvements.
State if Clause is optional or compulsory. If compulsory, state Amount owing at 31st March, 19 . Area. £ A.R.P. £ £

PART 4.

Particulars of Land sold since 31st March, 19 .

Valuation No. No. of Lot, Section, Block, Survey District, or other Reference to Locality. Area. Name and Address of Purchaser. (Christian name should be entered in full.) Date of Sale or Agreement to sell. Price. Balance of Purchase-money owing on 31st March, 19 .
A. R. P. £ £

PART 5.

Particulars of Land bought since 31st March, 19 .

Valuation No. No. of Lot, Section, Block, Survey District, or other Reference to Locality. Area. Name and Address of Vendor. (Christian name should be entered in full.) Date of Purchase or Agreement to purchase. Price. Balance of Purchase-money owing on 31st March, 19 .
A. R. P. £ £

Declaration.

I, __, of __, do hereby solemnly and sincerely declare that the particulars set forth in this return are true and accurate in every particular as at noon on the 31st day of March, 19____.

Dated at __, this __ day of __, 191____.

[Usual signature.]

Capacity in which return is made: [State whether as owner, trustee, attorney, agent, secretary, director, or executor.]

FORM No. 3.

The Land and Income Tax Act, 1916.

RETURN OF INCOME

Derived during the Year ended 31st March, 19____, by—

Surname. Christian Name in full.

Occupation.

Address (where notices, &c., may be sent or served).

PART A.

CLAIMS FOR SPECIAL EXEMPTIONS.

  1. Amount actually paid by me during the year as life-insurance premiums on my own life, for my own benefit or for the benefit of my wife and children __ £

NOTE.—This deduction is limited to £50, but in all cases the exact figures should be stated.

  1. Amount claimed in respect of payments to National Provident Fund, Superannuation Fund, or Insurance Fund of Friendly Society £

[Specify name of Fund here.]

  1. Amount claimed in respect of my own children under the age of sixteen years dependent on me, particulars of whom are given hereunder £

NOTE.—This deduction is limited to £125—that is, £25 for each child to the number of five, being under the age of sixteen years and dependent on the taxpayer; but must not be claimed in any case where the combined income of the father and mother exceeds £425, whether such income or any part thereof is liable to income-tax or not.

In the case of a partnership between taxpayers of the same surname the respective parents should be indicated.

Name of Child. Place of Birth. Date of Birth.
  1. Five per cent. on the capital value of the land used in the production of the income shown in this return—namely:—
Valuation No. District (County, Borough, or Town District) in which Land situated. No. of Section, Block, Survey District, or other Reference to Locality. Area. Purpose for which Land used. Number of Months for which used. Capital Value (as shown on District Valuation Roll). Net Amount of Rents, Royalties, or other Income derived by the Taxpayer from the Land during the Year. Amount of Mortgage (if any) to which the Land is subject. Rate of Interest payable thereon. Amount of Interest paid on Mortgages during Period for which Land used.
£ £ £ £ £

PART B.

STATEMENT OF RECEIPTS AND EXPENDITURE IN RESPECT OF PROPERTIES LET DURING THE YEAR ENDED ON 31ST MARCH, 19____.

Receipts. £ Expenditure. £
Rental received from houses Rates
Rental received from farming property let to [State name and address of tenants] Ground-rent paid in respect of lease
Rental received from business premises Insurance
Rental received from other sources [Specify] Repairs and maintenance
Expenses of collection..
Mortgage interest paid to………
Other interest paid to………
Net income from properties
Total.. £ Total.. £

PART C.

INCOME DERIVED FROM SALARY, WAGES, INTEREST, ETC., OR FROM A PROFESSION OR A TRADING OR MANUFACTURING UNDERTAKING.

During the year ended __, 19____.

NOTE.—This may be taken for TWELVE MONTHS ending at date of stock-taking or annual balance nearest to 31st March.

Amount.
£ s. d.
1. From salary, wages, allowances, bonus, or other emolument, as employee of………
2. From commissions, &c., received from or credited to me by………
3. From pension, annuity, superannuation, or retiring-allowance, or other annual payments
4. From interest of money deposited or lodged with any bank, society, company, firm, or person, and from unregistered mortgages, bonds, debentures, or like instruments
5. From interest on unregistered mortgages of land and unpaid purchase-money for land sold
6. From mining (not to include dividends on shares in registered mining companies)


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Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 1917, No 86


NZLII — PDF NZ Gazette 1917, No 86




✨ LLM interpretation of page content

💰 Regulations under the Land and Income Tax Act, 1916 (continued from previous page)

💰 Finance & Revenue
7 May 1917
Tax regulations, Land tax, Income tax, Oath of fidelity, Returns, Assessments, Appeals

💰 Land Held Under Lease Form

💰 Finance & Revenue
Lease, Valuation, Tax, Land, Improvements

💰 Particulars of Land Sold Form

💰 Finance & Revenue
Land sale, Valuation, Tax, Purchaser, Sale date

💰 Particulars of Land Bought Form

💰 Finance & Revenue
Land purchase, Valuation, Tax, Vendor, Purchase date

💰 Declaration for Tax Return

💰 Finance & Revenue
Tax declaration, Oath, Return, Valuation

💰 Return of Income Form

💰 Finance & Revenue
Income tax, Return, Exemptions, Deductions, Salary, Wages