JUNE 9.] THE NEW ZEALAND GAZETTE. 1981

Form No. 19.

Under the Pensions Act, 1926.

CERTIFICATE AS TO RENEWAL OF WIDOW’S PENSION.

For the Income-year ended 1st , 19
District :

Pension No.

Name :

Address :

1. THE pensioner is the parent [guardian] of children
   under the age of fifteen years, and the maximum
   pension payable is £ , subject to the deduction
   shown hereunder.

2. The pensioner’s income from all sources is as follows :—

Income from personal earnings .. .. £
Actual net income from property* .. ..
Actual income from other sources [State
nature]† .. .. ..
Constructive income (in terms of section 23)‡—
On account of cash .. £
On account of property (other than
home)§ .. .. £
Less mortgage .. .. £

Total property .. £

5 per cent of property‡ ..
Total income .. £
Income exempted .. £ 78.

Deduction on account of income
in excess .. .. £

Home .. .. .. £
Less mortgage .. .. £

£

• To be included only when amount is more than 5 per cent. of value
  of property. (See ‡ below.)
  † To include all allowances and any other class of pension.
  ‡ To be included only when amount is more than actual income
  from property. (See † above.)
  § Particulars of other property.

RECOMMENDATION.

………………
Registrar of Pensions.

Date :

DECISION.

For the year commencing on the 1st day of , 19
the pensioner is hereby granted a pension of £ [or, as
the case may be], is refused a pension in terms of section.

………………
Commissioner of Pensions.

Date :
Payment is desired at the Post-office.
Renewal of warrant under section 67 required in favour
of :
Noted in Pension Register : [Initials of Registrar].
P.C. and warrant and advice issued to P.M. :
Charge : District card : Advice :
P.C. Property return : File :

SECOND SCHEDULE.

REGULATIONS REVOKED.

(a) The regulations under the Old-age Pensions Act, 1908,
dated the 24th January, 1910, and published in the Gazette
of the 31st January, 1910, page 383.

(b) The regulations under the Old-age Pensions Act, 1908,
dated the 5th October, 1911, and published in the Gazette of
the 12th October, 1911, page 3015.

(c) The regulations under the Widows’ Pensions Act, 1911,
dated the 20th November, 1911, and published in the Gazette,
of the 23rd November, 1911, page 3500.

(d) The regulations under the Military Pensions Act, 1912,
dated the 5th February, 1913, and published in the Gazette
of the 10th February, 1913, page 489.

F. D. THOMSON,
Clerk of the Executive Council.

Setting aside Native Land as a Native Reservation.

CHARLES FERGUSSON, Governor-General.

ORDER IN COUNCIL.

At the Government House at Wellington, this 6th day of
June, 1927.

Present :

HIS EXCELLENCY THE GOVERNOR-GENERAL IN COUNCIL.

WHEREAS by section two hundred and thirty-two of
the Native Land Act, 1909, it is enacted, inter alia,
that when any Native freehold land is owned at law or in
equity by more than ten owners in common the Governor-
General may, by Order in Council, set apart and reserve any
part of that land for the common use of the owners thereof
as in the said Act provided :

And whereas the Native Land Court has recommended
that the land described in the Schedule hereto be so set apart
and reserved :

Now, therefore, His Excellency the Governor-General of
the Dominion of New Zealand, in pursuance and exercise of
the power and authority hereinbefore mentioned, and all
other powers thereunto him enabling, and acting by and with
the advice and consent of the Executive Council of the said
Dominion, doth hereby set apart and reserve as a Native
reservation the Native freehold land described in the Schedule
hereto for the common use of the owners thereof as a papa-
kainga or village.

SCHEDULE.

BLOCK III, WAIAU SURVEY DISTRICT.

ALL that area of land situate in the Tairawhiti Native Land
Court District called or known as Te Kopani 5 Block (Te
Kuha Pa), containing 9 acres 3 roods 28 perches, more or
less, and being the whole of the land comprised in a partition
order of the Native Land Court dated the 5th September,
1925.

F. D. THOMSON,
Clerk of the Executive Council.

Setting aside Native Land as a Native Reservation

CHARLES FERGUSSON, Governor-General.

ORDER IN COUNCIL.

At the Government House at Wellington, this 6th day of
June, 1927.

Present :

HIS EXCELLENCY THE GOVERNOR-GENERAL IN COUNCIL.

WHEREAS by section two hundred and thirty-two of
the Native Land Act, 1909, it is enacted, inter alia,
that when any Native freehold land is owned at law or in
equity by more than ten owners in common the Governor-
General may, by Order in Council, set apart and reserve any
part of that land for the common use of the owners thereof
as in the said Act provided :

And whereas the Native Land Court has recommended
that the land described in the Schedule hereto be so set apart
and reserved :

Now, therefore, His Excellency the Governor-General of
the Dominion of New Zealand, in pursuance and exercise of
the power and authority hereinbefore mentioned, and all
other powers thereunto him enabling, and acting by and with
the advice and consent of the Executive Council of the said
Dominion, doth hereby set apart and reserve as a Native
reservation the Native freehold land described in the Schedule
hereto, for the common use of the owners thereof as a papa-
kainga or village.

SCHEDULE.

BLOCK III, WAIAU SURVEY DISTRICT.

ALL that area of land situate in the Tairawhiti Native Land
Court District, called or known as Te Kopani 2 Block
(Waimako Pa), containing 10 acres, more or less, and being
the whole of the land comprised in a partition order of the
Native Land Court dated the 5th September, 1925.

F. D. THOMSON,
Clerk of the Executive Council.