3152
THE NEW ZEALAND GAZETTE.
No. 91

Total value of goods and amount of drawback claimed:
I, [Full name], authorized agent/clerk of [Name of exporter(s)] do hereby declare that the goods above specified have been duly exported to the destination stated above, and have not been relanded or reimported, and are not intended to be relanded or reimported in any part of New Zealand, and that the exporter(s) was/were at the time of shipment of the goods entitled to the drawback thereon.

……………, Exporter [Agent or Clerk].

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

……………, Officer of Customs
[Postmaster, Customs Agent, Solicitor, or Notary Public].

Examined and found correct.

……………, Sub-Collector.

Received this …………… day of ……………, 19 ……………, from the Collector of Customs, the sum of …………… pounds …………… shillings …………… pence, in full payment of the above claim for drawback.

……………, Exporter(s).
Per ……………, Authorized Agent.

$

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Form 10.
New Zealand Customs.
BOND FOR REMOVAL OF WAREHOUSED GOODS.

Know all men by these presents that we [Name, residence, and occupation, in words at length, of the remover] (hereinafter referred to as “the remover”), and [Names, residences, and occupations, in words at length, of two sureties], are held and firmly bound unto His Majesty the King in the sum of [Amount of penalty in words at length] pounds sterling to be paid to His Majesty the King, his heirs and successors, to which payment well and truly to be made we bind ourselves and every of us, jointly and severally, for and in the whole, our and every of our heirs, executors, administrators, successors, and assigns firmly by these presents. Sealed with our seals. Dated this [Date of first signature in words at length] …………… day of ……………, in the year of our Lord one thousand nine hundred and …………….

Whereas provision is made under the Customs Acts for the removal of warehoused goods for rewarehousing at another warehouse [either at the same or some other port or place]: And whereas the remover from time to time enters such goods for such removal:

Now, the condition of this obligation is such that if all and every portion of such goods as may from time to time be entered by the remover for such removal at the port or place of …………… shall, with all due diligence and despatch and to the satisfaction of the Collector of Customs at the said port or place, be duly removed to, and rewarehoused, and accounted for at the place or places for which they have been entered for removal for rewarehousing as aforesaid, then this obligation shall be void and of no effect, but otherwise shall remain in full force and virtue.

Signed, sealed, and delivered by the above-named [Names of principals and sureties in words at length] in the presence of—

NOTE.—A seal to be affixed for each party, and the bond to be signed in the presence of two witnesses, who must sign their names, adding their residences and occupations. An attestation must be added for each separate witnessing.

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Form 11.
New Zealand Customs.
AUTHORITY FOR CLERK.

Port of ……………, ……………, 19 …………….

The Collector of Customs,

I HAVE authorized [Name in full] to attend to all business required to be transacted at the Customhouse, and to sign all declarations and documents required by the Customs Acts, on behalf of myself.

This authority [revokes that issued to ……………, and (To be struck out if inapplicable)] shall remain in force until revoked by me in writing.

……………, Customs Agent.

Signature of [Name of Customs Agent] verified by

……………, Officer of Customs
[Customs Agent, Postmaster, or Solicitor].

Specimen signature of authorized clerk:

Verified by

……………, Officer of Customs
[Customs Agent, Postmaster, or Solicitor].

Approved.

……………, Collector.

Date: ……………, 19 …………….