538

THE NEW ZEALAND GAZETTE.

[No. 20

The undermentioned documents relative to the above are produced here-with :—

[Such documents as the Collector may require.]

Further, I do hereby declare that the above particulars are true and correct in every respect, and that { I have
my company has } not already made application for
{ my firm has } or received directly or indirectly refund of any portion of the sales tax refund of which is now claimed.

[Usual signature.]

Postal address of applicant :
To the Collector of Sales Tax at

NOTE.—This application must be delivered to the Collector of Sales Tax within twenty-eight days after the end of the month in which the goods were sold (see clause 25 of the Sales Tax Regulations).

Section 11 (3),
Reg. 23.

Form 15.

New Zealand Customs.

Sales Tax Act, 1932-33.

APPLICATION FOR REFUND OF SALES TAX PAID ON GOODS USED IN THE MANU-FACTURE OF NON-TAXABLE GOODS.

I, [Full name], [the managing director (or the manager, or a partner, or an agent duly authorized under the Sales Tax Act) of [Name of company or firm]] hereby make application for refund under subsection (3) of section 11 of the Sales Tax Act, 1932-33, of sales tax to the amount stated below paid on the undermentioned taxable goods used by me [my company/firm] in the manufacture of the following non-taxable goods the manufacture of which was completed during the month ended
, 19
, and submit the following statement in respect thereof :—

Non-taxable goods the manufacture of which was completed during the said month, and in the manufacture of which the taxable goods enumerated below have been used :—

Description of Goods
(showing each kind separately).

Value.
£
s.
d.

Total

£

NOTE.—It will be sufficient if the value is shown to the nearest pound (£1).

Taxable goods used in the manufacture of the above-mentioned non-taxable goods and in respect of which refund of sales tax is claimed :—

Description of Goods.

Sale Value upon which Sales Tax has been paid.

Net Amount of Sales Tax paid.

£
s.
d.

£
s.
d.

Total amount of refund for which application is made £

The undermentioned documents relative to the above are produced here-with :—

[Such documents as the Collector may require.]

Further, I do hereby declare that the above particulars are true and correct in every respect, and that { I have
my company has } not already made application for
{ my firm has } or received directly or indirectly refund of any portion of the sales tax refund of which is now claimed.

[Usual signature.]

Postal address of applicant :
Place[s] of manufacture of goods :
To the Collector of Sales Tax at

NOTE.—This application must be delivered to the Collector of Sales Tax within twenty-eight days after the end of the month in which the manufacture of the non-taxable goods was completed (see clause 26 of the Sales Tax Regulations).

Section 31,
Reg. 27.

Form 16.

New Zealand Customs.

APPLICATION FOR REFUND OF SALES TAX PAID IN ERROR.

I, [Full name], [the managing director (or the manager, or a partner, or an agent duly authorized under the Sales Tax Act) of [Name of company or firm]] hereby make application for refund under section 31 of the Sales Tax Act, 1932-33, of sales tax paid in error, as shown hereunder, in respect of—

Return for the month ended
, 19
, or Entry No.
, dated
, ex ship “
” from

[In this space set out fully the nature and computation of the error, and the amount of refund claimed.]

Words
inapplicable
to be struck
out.

Words
inapplicable
to be struck
out.