1382
THE NEW ZEALAND GAZETTE.
[No. 37

(2) In any case where the total amount of the charge in
respect of the income for any year is not paid in one sum,
the form of receipt shall disclose—
(a) The amount of the declared income for the year ;
(b) The amount of the charge paid ;
(c) The due date and the amount of the next instalment,—
and unless such receipt is produced on the payment of such
next instalment, the person liable therefor shall be required
to make a new declaration as to his income for that year.

10. If any emergency unemployment charge under these
    regulations is paid in excess or is paid in error, an adjustment
    may be made at the time of any subsequent payment, or a
    refund of any amount that has been so paid in excess or in
    error may, with the consent of the Minister of Finance, be
    paid out of the Unemployment Fund.

GENERAL.

11. (1) For the purpose of ensuring compliance with the
    provisions of any Act or these regulations, with respect to
    the payment of the emergency unemployment charge on
    income other than salaries and wages, any person acting with
    the authority in writing of the Controller and Auditor-General
    or the Commissioner of Unemployment, or the Commissioner
    of Taxes, shall at all times have full and free access to all
    lands, buildings, places, books, and documents for the purpose
    of inspecting the same in the execution of his office.

(2) Every person who obstructs or hinders any person in
the exercise of the powers conferred by this clause commits an
offence, and shall be liable on summary conviction to a fine
of £20.

12. Every person shall be liable on summary conviction to
    a fine of £50 who—
    (a) Refuses or fails to furnish any declaration or information
    as and when required by or pursuant to these regula-
    tions ; or
    (b) Wilfully or negligently makes any false declaration in
    relation to the subject-matter of these regulations ; or
    (c) Aids, abets, or incites any other person to commit an
    offence against these regulations.

SCHEDULE.
[Form No. 1.
Unemployment Amendment Act, 1931.
DECLARATION OF INCOME OTHER THAN SALARY OR WAGES.
[To be furnished to the Secretary of the Post and Telegraph
Department.]
Coupon-book No. .

The Secretary,
Post and Telegraph Department,
Wellington.

Surname :
Christian name [In full] :
Occupation :
Address :

I do solemnly and sincerely declare,—
(1) That during the year ended 31st March, 193 , I derived
no income † from any source other than salary or wages.
(2) That for the purpose of the assessment of the emer-
gency unemployment charge, I have furnished to the Com-
missioner of Taxes a declaration of the total income † derived
by me from all sources other than salary or wages, during
the year ended 31st March, 193 .
*(3) That the following is a true and complete statement
of income † derived by me from all sources other than salary
or wages during the year ended 31st March, 193 .

Statement of Income derived as aforesaid.
£ s. d.
(a) From any profession or business (including
farming) .. .. ..
(b) From interest (including tax-free war loans
and debentures) .. .. ..
(c) From dividends from companies .. .. ..
(d) From rents and royalties .. .. ..
(e) From goodwill derived from any lease,
license, or easement affecting land .. ..
(f) From dividends paid or profits credited by
any building society .. .. ..
(g) From pension, annuity, superannuation, or
retiring-allowance .. .. ..
(h) From any other source [State source] .. ..

£

Dated at , this day of , 193 .
[Usual signature.]

*[Strike out the clauses which do not apply.]

† (NOTE.—For the purposes of this Form and of the unem-
ployment relief tax the term “income” does not include
compensation received under the Workers’ Compensation
Act or any war pension.)

[Form No. 2.
Unemployment Amendment Act, 1931.
DECLARATION OF INCOME OTHER THAN SALARY OR WAGES.
[To be furnished to the Commissioner of Taxes.]
Coupon-book No.

The Commissioner of Taxes,
Wellington.

Surname :
Christian name [In full] :
Address :

I do solemnly and sincerely declare that the following is a
true and complete statement of income † derived by me from
all sources other than salary or wages during the year ended
31st March, 193 .

Statement of Income derived as aforesaid.
£ s. d.
(a) From any profession or business (including
farming) .. .. ..
(b) From interest (including tax-free war loans
and debentures) .. .. ..
(c) From dividends from companies .. .. ..
(d) From rents and royalties .. .. ..
(e) From goodwill derived from any lease,
license, or easement affecting land .. ..
(f) From dividends paid or profits credited by
any building society .. .. ..
(g) From pension, annuity, superannuation, or
retiring allowance .. .. ..
(h) From any other source [State source] .. ..

£

Dated at , this day of , 193 .
[Usual signature.]

† (NOTE.—For the purposes of this Form and of the unem-
ployment-relief tax the term “income” does not include
compensation received under the Workers’ Compensation
Act or any war pension.)

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

Special Order made by Akitio County Council declaring Sec-
tions 121 and 131, Counties Act, 1920, not to apply to that
Council.

Department of Internal Affairs,
Wellington, 18th May, 1932.

THE following special order, made by the Akitio County
Council, is published in accordance with the provisions
of the Counties Amendment Act, 1931.

JOHN G. COBBE,
For Minister of Internal Affairs.

AKITIO COUNTY COUNCIL.

Special Order.—Riding Accounts.

THAT, pursuant to and in exercise of the powers conferred
upon it by the Counties Amendment Act, 1931, the Akitio
County Council hereby resolves by way of special order that
sections 121 and 131 of the Counties Act, 1920, shall not
apply to the Akitio County Council.

I HEREBY certify that the above special order has been duly
made.

A. R. COXLEY, County Clerk.

County Office, Pongaroa, 30th April, 1932.

Special Order made by Malvern County Council declaring
Sections 121 and 131, Counties Act, 1920, not to apply to
that Council.

Department of Internal Affairs,
Wellington, 18th May, 1932.

THE following special order, made by the Malvern County
Council, is published in accordance with the provisions of
the Counties Amendment Act, 1931.

JOHN G. COBBE,
For Minister of Internal Affairs.

MALVERN COUNTY COUNCIL.

Special Order resolving that Sections 121 and 131 of the
Counties Act, 1920, shall not apply to the Council.

WHEREAS under and by virtue of section 121 of the Counties
Act, 1920, it is provided that the Council shall make and levy
the general rates separately in each riding of the county, and