New Zealand Gazette – 1922 – No. 22

Page 769

✨ Land and Income Tax Forms



Mar. 30.] THE NEW ZEALAND GAZETTE. 769

PART 3.
Particulars of the Land owned or leased at noon on 31st March, 19 .

NOTE.—A separate line should be used for each parcel of land.

LAND HELD IN FREEHOLD.

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. Area. Capital Value, including Improvements. Unimproved Value. Value of Improvements.
A. R. P. £ £ £

LAND HELD UNDER LEASE (INCLUDING LEASES OF NATIVE LAND).

At noon on 31st March, 19 .

NOTE.—If the leaseholder has no saleable interest in the lease the property must, nevertheless, be entered.

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: Area. Name and Address of Lessor.
State if Clause is optional or compulsory. If Compulsory, state Amount owing at 31st March, 19 . A. R. P.

PART 4.
Particulars of Land disposed of since 31st March, 19 .

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

PART 5.
Particulars of Land acquired since 31st March, 19 .

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

PART 6.
Reference to Land shown in other Returns.

In addition to the land included in this return I am beneficially interested in the land of the following partnerships, deceased persons’ estates, or other trusts, syndicates, businesses, or undertakings :—

  1. | 4.
  2. | 5.
  3. | 6.

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 . [Usual signature.]

Dated at this day of , 19 .

Capacity in which I make this return : [If not made by the taxpayer, state whether as trustee, attorney, agent, secretary, director, or executor].

FORM NO. 3.
The Land and Income Tax Act, 1916, and amendments.
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). If not resident in New Zealand state here place of residence.

PART A.
Claims for Special Exemptions.

NOTE.—In the case of partnerships, the particulars in respect of each partner should be separately shown. These exemptions should not be entered in any other part of this form.

  1. Amount actually paid by me during the year—
    (a.) As life insurance premiums on my own life, for my own benefit or for the benefit of my wife and children .. £
    (b.) To Superannuation Fund .. £
    (c.) To National Provident Fund or Insurance Fund of friendly society .. £
    [Specify name of fund here.]

  2. Amount claimed in respect of my own children under the age of eighteen years dependent on me, particulars of whom are given hereunder (£50 for each child).

Name of Child. Place of Birth. Date of Birth.

  1. Amount contributed during the income year towards the support of my widowed mother £
    Full name and address of widowed mother :

  2. Five per cent. on the unimproved value of my interest, as shown on district valuation roll, in the land used in the production of the income shown in this return—namely :—

No. on District Valuation Roll. District, County, Borough, or Town, District, in which Land situated. No. of Section, Block, Survey District, Street, or other Reference to Locality. Area. Purpose for which Land used. Number of Months for which used. Unimproved Value (as shown on District Valuation Roll).

*Claim for Depreciation of Premises.

Amount actually written off the Buildings Account during the year in respect of depreciation of premises used in the production of the income shown in this return, particulars of which are given hereunder : £

Where situate. Nature of Premises. Purposes for which used. Materials of which built. Number of Months during the above Year for which the Premises were used. Cost of Premises to me.†
  • This will be allowed only when the books are kept by double entry and a copy of the profit and loss account and balance-sheet is furnished in compliance with instruction (j).
    † The cost of the land on which the buildings, &c., stand should not be included.


Next Page →



Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 1922, No 22


NZLII — PDF NZ Gazette 1922, No 22




✨ LLM interpretation of page content

💰 Return of Land Ownership Form (continued from previous page)

💰 Finance & Revenue
Land Ownership, Tax Return, Property Details, Mortgage, Lease

💰 Return of Income Form

💰 Finance & Revenue
Income Tax, Tax Return, Exemptions, Insurance, Superannuation