402
THE NEW ZEALAND GAZETTE.
[No. 14

Regulations under the State Advances Act, 1913, dated the 19th December, 1922, and published in the New Zealand Gazette of the 11th January, 1923, page 22.
Regulations under the State Advances Act, 1913, dated the 22nd February, 1926, and published in the New Zealand Gazette of the 4th March, 1926, page 532.
Regulations under the State Advances Act, 1913, dated the 11th March, 1927, and published in the New Zealand Gazette of the 7th April, 1927, page 890.
Regulations under the State Advances Act, 1913, dated the 17th October, 1932, and published in the New Zealand Gazette of the 20th October, 1932, page 2142.

SECOND SCHEDULE.

DECLARATION OF SECRECY TO BE SIGNED BY ALL OFFICERS EMPLOYED UNDER THE STATE ADVANCES ACT, 1913.

I, [Name in full, address, and occupation], do hereby declare that I will truly and faithfully, according to the best of my skill and knowledge, perform the duties imposed upon me in respect of any employment by or under the State Advances Act, 1913, or any regulations for the time being in force thereunder; and that I will not divulge or communicate to any person whomsoever, except as may be authorized by law for the purpose of carrying into effect the provisions of the said Act or any regulations as aforesaid, any matter or thing coming to my knowledge in the performance of my said duties in respect of the business of the State Advances Office, or otherwise in relation thereto.

[Signature of person making declaration.]

This declaration was made before me at this day of , 193 .

Superintendent, Deputy Superintendent, or Justice of the Peace in and for the Dominion of New Zealand.

THIRD SCHEDULE.

APPLICATION FOR LOAN UNDER THE STATE ADVANCES ACT, 1913.

, 19 .

To the Superintendent, State Advances Office (Advances to Settlers Branch), Wellington.

I, , hereby apply for an advance on mortgage under the provisions of the State Advances Act, 1913, and amendments, and I enclose £ , being the valuation fee as per scale above.

I agree to pay, on demand, the Office Solicitor’s costs and any other costs and expenses, whether the transaction be completed or not, and to insure all buildings on the property in the Superintendent’s official name as mortgagee if a loan is granted.

[Signature of Applicant.]
[Occupation.]
[Address.]

1. (a) Have you previously applied to the Department for a loan; and, if so, when?
   (b) Have you or your wife (husband) or any member of your family at any time owned a property on which there was a State Advances loan; and, if so, state particulars?
   (c) Are you now a mortgagor to the Department?
   (d) Have you or your wife (husband) at any time owned a property mortgaged to another Government Department; and, if so, state particulars?
   (e) Has similar application been made to any other Government lending Department?
   (f) Are you the owner of any property other than the land on which the loan is required; and, if so, state full particulars?

2. What is amount of loan required: £ .

3. The purpose for which required:

4. Are you married? . State age:

5. Is the land freehold or leasehold?

6. If leasehold, what is the class of lease (see para. I of pamphlet)?

7. Where is the land situated (state name of street and town or district)?

8. State sections and block, also survey district:

9. State area: acres roods perches; or frontage and depth:

10. How was the land acquired? If by purchase, state—
    (1) When:
    (2) From whom:
    (3) The amount of the purchase-money:
    (4) If purchase is now being completed state—
    (a) Deposit:
    (b) Terms of purchase:

11. Where are the title-deeds to be obtained?

12. If the land is already mortgaged, state—
    (a) Amount: £
    (b) Maturity date:
    (c) Date to which interest paid:
    (d) Name(s) and address(es) of mortgagee(s):