2382
THE NEW ZEALAND GAZETTE.
[No. 67

Form No. 8.
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 Settle-
ment Amendment Act, 1917, and the regulations thereunder,
for an advance of £ for the purpose of* the
land hereinafter mentioned, namely :—

• 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 :—

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].

Form No. 9.
OPTION TO PURCHASE.
To [Name and address].
I, [Name and address of vendor], in consideration of the sum of* paid to me by you (the receipt whereof I hereby acknowledge), hereby give you the option to purchase my property, being Section , Block , Survey District of , containing , together with all buildings (inclusive of ranges, stoves, tanks, and all other fixtures), yards, gates, drains, wells, windmills, water-troughs, plantations, and all other improvements, rights, easements, and appurtenances existing thereon or belonging thereto at the date of this option, at the price of per acre.
This option for purchase shall remain open to you for a period of weeks from the date hereof.†
Dated this day of , 19 .
[Signature.]

• A nominal consideration—say, 5s.
  † In the case of town or suburban properties or rural land readily accessible, it is desirable that the period of option be not less than four weeks, and in the case of land situated in isolated localities a period of two months, in order that sufficient time may be provided for special inspection and valuations, &c.

Form No. 10.
Under the Discharged Soldiers Settlement Amendment Act, 1917.
MEMORANDUM OF MORTGAGE.
(hereafter called “the mortgagor”), being registered as proprietor of an estate [Here state nature of the estate or interest], subject, however, to such encumbrances, liens, and interests as are notified by memoranda underwritten or endorsed hereon, in piece of land situated in the [District, country, hundred, or township] containing [Here state the area, exclusive of roads, intersecting the same, if any] be the same a little more or less [Here state rights of way, privileges, or easements, if any, intended to be conveyed; if the land to be dealt with contains all that is included in an existing grant, or certificate of title, or lease, refer thereto for description and diagrams; otherwise set forth the boundaries in chains, links, or feet, and refer to plan thereof on margin of or annexed to the lease, or deposited in the Registry Office].