MAY 17.] THE NEW ZEALAND GAZETTE. 2061

ORDINARY
LAND-TAX.
£

Unimproved value of land (particulars hereunder)
Exemption .. .. ..

Taxable amount ..

Tax .. ..

@ | £ s. d.

GRADUATED LAND-TAX.

Unimproved value of land (particulars hereunder):
Taxable amount: £ £ s. d. £ s. d.

Graduated tax .. : : Total tax payable : :

Valuation No. | Description. | A. | B. | P. | Unimproved Value.
| | | | | £

FORM No. 7.
NOTICE OF ASSESSMENT OF INCOME-TAX.
Land and Income Tax Department,
Wellington, , 191 .

Land and Income Tax Act, 1916.

TAKE notice that your name appears on the Income-tax Assessment Roll in respect of income derived during the year ending on 31st day of March, 19 , as below.

If you consider yourself aggrieved by this assessment you may make objection in the prescribed manner.

Objection to this assessment must be received at the office of the Commissioner of Taxes, Wellington, not later than , otherwise the assessment must stand, and the tax as assessed will become payable. This is not a demand for tax, the accounts for which will be posted later. This notice must therefore be retained for the purpose of checking the accounts when received.

Commissioner of Taxes.

Gross income .. .. .. £
Less deductions .. .. .. £

Assessable income .. £
Less special exemptions, as under—

5 per cent. on capital value
£ of the taxpayer’s
interest in land used .. £
Less interest on mortgages £

Life-insurance premiums .. .. £
Superannuation contributions .. £
National Provident Fund contributions .. .. £
Children allowance .. .. £

Taxable income .. £
Tax payable: £

FORM No. 8.
OBJECTION TO ASSESSMENT OF LAND-TAX.
To the Commissioner of Taxes, Wellington.

I HEREBY give notice that I object to your assessment of ordinary [or graduated] land-tax in respect of land owned by me, for the following reasons [Here state clearly and shortly the reasons for objection].

[Name.]
[Address.]

[Date.]

FORM No. 9.
OBJECTION TO ASSESSMENT OF INCOME-TAX.
To the Commissioner of Taxes, Wellington.

I HEREBY give you notice that I object to your assessment of my income-tax on the following grounds [Here state shortly and clearly the reasons for objection].

[Name.]
[Address.]

[Date.]

FORM No. 10.
NOTICE OF CHANGE OF OWNERSHIP OF LAND.
To the Commissioner of Taxes, Wellington.

I HEREBY give you notice, pursuant to section 56 of the Land and Income Tax Act, 1916, that I have ceased to be the owner of the land hereinafter described, and that my successor in title is [Name, address, and occupation of successor in title]. I also hereby declare that the particulars hereinafter set forth with respect to the said land are true and accurate.

Dated at , this day of , 19 .
[Signature.]

FORM No. 11.
RETURN OF PERSONS EMPLOYED
By [Name of employer] during any part of the Year ended the 31st March, 19 .

I, , of , do hereby solemnly and sincerely declare that the particulars set forth in the above return are true and correct in every particular.

Dated at , this day of , 19 .
[Signature of employer.]

FORM No. 12.
RETURN OF INTEREST PAID ON DEPOSITS
during the Year ended 31st March, 19 .

I, , of , do solemnly and sincerely declare that the particulars set forth in the above return are true and correct in every particular.

Dated at , this day of , 19 .
[Signature.]

FORM No. 13.
RETURN TO BE FURNISHED BY COMPANIES AND LOCAL AND PUBLIC AUTHORITIES AS TO DEBENTURES ISSUED.

I, , of , do solemnly and sincerely declare that the particulars set forth in the above return are true and correct in every particular.

Dated at , this day of , 19 .
[Signature.]