New Zealand Gazette – 1918 – No. 112

Page 3030

✨ Legal and Settlement Forms



3030
THE NEW ZEALAND GAZETTE.
[No. 112

shall be readvanced to the grantor. Provided always that
the grantee may in his absolute and uncontrolled discretion
pay such portion of such proceeds as he thinks fit to the
grantor, and such payment shall not be treated as an advance
or readvance, and repayment of such sum shall not require
to be made by the grantor nor shall it be secured by these
presents. Provided further that in such case the grantee will
on making such payment state in writing to the grantor that
such sum is not to be deemed to be an advance or readvance
and repayment of the same is not secured by these presents.

  1. All powers and duties conferred by these presents upon
    the grantee or directed or implied by statute shall (on behalf
    of the grantee) be exercisable and may be performed in his
    own name by the Commissioner of Crown Lands for the time
    before for the
    Land District.

In witness whereof the grantor has hereunto subscribed his
name this day of , one thousand nine
hundred and .

THE FIRST SCHEDULE HEREINBEFORE REFERRED TO.

The sheep, cattle, horses, implements, and other chattels
of the grantor now in or upon or used by the grantor in
connection with the farming, grazing, and working of

The particulars of the said sheep, cattle, horses, implements, and other chattels are as follows :—

THE SECOND SCHEDULE HEREINBEFORE REFERRED TO.

Date. Fame of Parties. Nature of Security. Amount Secured.

[Signature.]

Signed by the above-named in the presence of
…………………

Form No. 3.

APPLICATION FOR AN ADVANCE UNDER SECTION 2 OF THE
DISCHARGED SOLDIERS SETTLEMENT AMENDMENT ACT,
1917.

To the Land Board for the Land District.

I, [Name in full], of [Address and occupation, if any], hereby
apply, under the provisions of the Discharged Soldiers Settlement Amendment Act, 1917, and the regulations thereunder,
for an advance of £ for the purpose of* the
land hereinafter mentioned, namely :—

Section. Block. Survey District. Area. Reference to Title—Land Transfer or Deeds Register Office.

*If advance for purchase of freehold or leasehold land, option to
purchase must be produced.

The land is situated miles from Post-office,
and miles from Railway-station. Access is
by .

For the purpose of this application I make the following
replies to the questions hereinafter set forth :—

Question. Answer.
1. What is your full name and Regimental No. ?
2. Of what Naval or Expeditionary Force were you a member ?
3. What was—
(a.) Your length of service in such Force ?
(b.) The date of your discharge ? ..
(c.) The reason of your discharge ?..
4. What physical disabilities (if any) do you suffer from by reason of wounds or disease resulting from your naval or military service? State particulars as to loss of limb or faculty, or as to condition of health.
5. (1.) Have you applied for a pension under the War Pensions Act, 1915 ?
(2.) If so, has your application been (a) granted, or (b) refused, or (c) not finally dealt with ?
Question. Answer.
(3.) If granted, to what rate of pension are you entitled ?
(4.) If refused, what were the grounds of refusal ?
(5.) In the case of an applicant who is married,—
(a.) To what rate of pension under the War Pensions Act, 1915, is your wife entitled ?
(b.) To what rates of pension are you entitled under the said Act in respect of your children (if any) ?
6. What was your occupation prior to your becoming a member of the Forces? State period.
7. For what business or purpose do you intend to use the land ?
8. What experience (if any) have you had in such business ?
9. What experience have you had (if any) in any kindred business ?
10. What is the amount of capital at your disposal for use on the land ?—
(a.) Amount of cash ..
(b.) Value of stock (if any) ..
(c.) Implements or other property
11. What financial assistance will you require to enable you to work the land successfully? State particulars.
12. Are you single, married, or a widower? If married or a widower, state number of children (if any) dependent on you.
13. What land (if any) do you at present own or have an interest in? Give particulars.
14. If married, what land (if any) does your wife own or have an interest in? Give particulars.
15. Is title freehold or Crown leasehold? If leasehold, give particulars as to tenure.
16. Who is the present owner or lessee? ..
17. Is land subject to any encumbrances? Give particulars.
18. Where may titles be obtained? ..
19. Are there any buildings on the land? Give particulars.
20. Are buildings insured? State office and amount.
21. State area in bush; area in grass; area ploughed; area in flat land capable of being ploughed.
22. Give particulars of fencing ..
23. What stock is land now carrying? ..
24. Do you intend to enter into personal residence upon the land?
25. Have you at any time held land or received an advance under the Discharged Soldiers Settlement Act? If so, state particulars.

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

Statutory Declaration to accompany Application for Advance under Section 2 (a), (b), or (d) of the Discharged Soldiers Settlement Amendment Act, 1917.

I, [Name in full], of [Address and occupation], do solemnly and sincerely declare—

  1. That I am a discharged soldier within the meaning of the Discharged Soldiers Settlement Act, 1915.

  2. That my answers to the questions set out in the attached application are true and correct in every particular.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Justices of the Peace Act, 1908.

[Signature.]

Declared at , this day of , 19
before me—
…………………

Justice of the Peace for New Zealand
[or Solicitor, or Notary Public].



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Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 1918, No 112


NZLII — PDF NZ Gazette 1918, No 112




✨ LLM interpretation of page content

🗺️ Deed of Mortgage for Stock and Chattels (continued from previous page)

🗺️ Lands, Settlement & Survey
Mortgage, Stock, Chattels, Legal Agreement, Security

🛡️ Application for Advance under Discharged Soldiers Settlement Amendment Act

🛡️ Defence & Military
Settlement, Advance, Discharged Soldiers, Land Purchase, Application Form

🛡️ Statutory Declaration for Discharged Soldiers Settlement

🛡️ Defence & Military
Declaration, Discharged Soldiers, Settlement, Legal, Application