MAY 17.] THE NEW ZEALAND GAZETTE. 2057

7. From dividends paid or profits credited by any building society
8. From royalties .. .. ..
9. From goodwill derived from any lease, license, or easement affecting land
10. From the profession of .. .. ..
11. From any other source (state source).. ..
12. From the trade, business, manufacture, or concern of , as follows:—

Sales both for cash and on credit for twelve months ending at date of stocktaking (include goods supplied for taxpayer’s own use, and goods used in the business or upon buildings, plant, fixtures, &c.)
Stock in hand at date of stocktaking on expiry of the twelve months

Less—
Stock in hand at the commencement of the twelve months
Purchases of stock for twelve months ending at date of stocktaking (at cost laid down on the premises)
Labour and materials used in manufactures
(This should only appear in case of a manufacturing business.)

Total of items 1 to 12 .. £

DEDUCTIONS.
(Expenses incurred in the production of the above income.)

Salaries and wages (not to include any sums drawn by proprietors, or any sums deducted above under heading “Labour and materials”)
Rent (include only rent of premises or portion of premises used exclusively for the purposes of the business), not to include rental value of premises owned by taxpayer
Rates on business premises or portion of premises used exclusively for the purposes of the business (not to include payments for land-tax or income-tax)
Fire insurance (premiums on business premises and stock only)
Accident insurance (for employees only) ..
Exchange and discounts allowed, less amounts received
Interest on registered mortgage payable to......
Other interest (not to include interest on capital)
Repairs or maintenance of machinery, plant, or business premises (not to include additions or improvements to property or plant, or any depreciation)
Travelling-expenses incurred in the business only
Printing, stationery, advertising, stamps, and telegrams
Petty expenses incurred in the business only (not to include donations, gratuities, or subscriptions)
Bad debts (to include those proved to be bad during the year and actually written off the books, and no others)
Other items (to be specified):—

Total deductions .. £

Net income .. .. £

Care should be taken to fill up the above items as correctly as possible. No averages or estimates will be accepted.

B

PART D.

INCOME DERIVED IN RESPECT OF FARMING, PASTORAL, MARKET-GARDENING, AND KINDRED PURSUITS.

During the Year ended , 19 .

NOTE.—This may be taken for TWELVE MONTHS ending at date of stocktaking or mustering nearest to 31st March.

Sales of live-stock during the year for cash and on credit:—
sheep, sold for ..
cattle, sold for ..
horses, sold for ..
Other live-stock [Specify], sold for

Sales of produce during the year for cash and on credit:—
Wool, meat, hides, skins ..
Dairy-produce ..
Grain .. ..
Other produce [Specify] ..

Rent received for any part of farm let for grazing, cultivation, or other purpose
Amount received for hire of live-stock or implements
Estimated value of meat and other produce of the farm used for private and domestic purposes
Value of live-stock and produce given in exchange for goods, provisions, &c.

Live-stock on hand and not sold at end of year (31st March, 19 , or other stocktaking date as shown above):—
sheep, valued at ..
cattle, valued at ..
horses, valued at ..
Other live-stock [Specify], valued at

NOTE—Adopt a standard value PER HEAD for each class of live-stock, and adhere to that value PER HEAD in subsequent returns.

Produce on hand at end of year (31st March, 19 , or other stocktaking date as shown above):—
wool (estimated value) ..
grain (estimated value) ..
Other produce [Specify] (estimated value)

Less—
Live-stock on hand and not sold at beginning of year (1st April, 19 , or other stocktaking date):—
sheep, valued at ..
cattle, valued at ..
horses, valued at ..
Other live-stock [Specify], valued at

Produce on hand at beginning of year (1st April, 19 , or other stocktaking date):—
wool (estimated value) ..
grain (estimated value) ..
Other produce [Specify] (estimated value)

Purchases (if any) of live-stock during year:—
sheep, bought for ..
cattle, bought for ..
horses, bought for ..
Other live-stock [Specify], bought for

Value of live-stock and produce received in exchange for live-stock and produce

Gross income .. .. £