Mar. 9.] THE NEW ZEALAND GAZETTE. 403

13. State amount owing on stock, implements, and machinery :—
    (a) £
    (b) State to whom :

14. Are you indebted to any bank, stock company, or similar institution ?
    If so, state—
    (a) To whom :
    (b) Amount :
    (c) Nature of security given :

15. What dairy factory do you supply ?
    What orders have you given on your milk cheques ?

16. Who is (will be) the occupant of the property ?

17. If it is let to a tenant, state the rent and terms of lease, and name of tenant :

18. What roads give access to the lands ?
    Are they metalled ?

19. State distance from—
    (a) Nearest railway-station (giving the name) : ; and
    (b) Nearest post-office (giving the name) :

20. If the land is held on lease, state—
    (a) When the lease commenced :
    (b) The annual rent payable :
    Improvements :—

21. Buildings.—State particulars—
    (a)
    (b) Date of erection and materials :
    (c) If to be erected, state name of builder and contract price :

22. Are they insured ? If so, name the office :
    (a) And state amount of insurance (on buildings only) :
    (b) And what amount of insurance is obtainable :

23. State—
    Acreage cleared of original bush or scrub :
    Acreage sown down in English grass :
    Acreage ploughed :
    Acreage of flat land capable of being ploughed :
    Extent and value of the fencing :
    Is the land subdivided, and into how many paddocks ?

24. What stock is the land now carrying ? No. sheep : ; dairy cows : ;
    other cattle : ; horses : ; other stock :
    What is it capable of carrying ? No. sheep : ; dairy cows : ; other
    cattle : ; horses : ; other stock :

25. Annual amount of all rates, taxes, or other charges (exclusive of rent) to which the
    property is liable :—
    (a) Land-tax .. .. .. .. £ : :
    (b) Rates .. .. .. .. £ : :
    (c) Electric-power Board charges .. .. £ : :
    (d) Other charges (state nature) : £ : :
    Total .. .. .. £ : :
    =========================
    What arrears exist ?

26. State present value of the—
    Land unimproved .. .. .. .. £ : :
    Buildings .. .. .. .. £ : :
    Fencing .. .. .. .. £ : :
    Other improvements .. .. .. £ : :
    Total .. .. .. £ : :
    =========================

27. Sketch-plan showing the boundaries of the property and location of the buildings
    must be supplied hereunder.

28. Statement of assets and liabilities :—

    Liabilities.

    Mortgages :—
    Farm property—
    Mortgagee : . Amount ..
    Other property—
    Mortgagee : . Amount ..
    Stock account (name of company) :
    Bank overdraft .. .. .. ..
    Outgoings on property owing—
    Land-tax .. .. .. ..
    Rates .. .. .. .. ..
    Interest .. .. .. .. ..
    Insurance .. .. .. .. ..
    Rent .. .. .. .. ..
    Other liabilities (specify) :
    Surplus .. .. £
    £
    £