8.—13 a.

Amount of Security to be Given. •b On salaries of £75 and upwards, but under £100 ... ... • ■■• ■■• 300 100 „ „ 150 400 150 „ • 200 600 200 „ „ 250 800 250 „ „ 300 1,000 300 „ „ 350 1,200 350 „ „ 400 ••• MOO 400 „ „ 450 1,600 450 „ 500 ... 1,800 500 I 550 ... 2,000 550 ;; : coo 2,200 500 „ ... ... ... ••• ••■ 2,500 28"' The following'form of application for loan shall be substituted for the form in the said Act, that is to say : —■ Application for Loan under " The Government Advances to Settlers Act, 1894." To the Superintendent, Government Advances to Settlers Office, SIX) _ Wellington. I, , of , hereby apply for an advance on mortgage under the provisions of the above-mentioned Act, as per particulars at foot hereof and following, and I enclose £ , being the valuation-fee as per scale in margin. [Insert scale of valuation-fees.] I am, Sir, Your obedient servant, Signature of the applicant: Advance required : £ , for the purpose of [State shortly the purpose to ivhich the money is to he applied]. Security: , Class of,land, not being urban or suburban lands (see margin) [Insert classes of land, as set forth in the said Act]: Section: Block: - Survey district: Area: Where situated : Measurement of frontage to street or road : Depth of the land : Where the title-deeds to the security are to be obtained: If the land is freehold, state the volume and folio of the certificate of title under "The Land Transfer Act, 1885," or, if the title is registered under " The Deeds Registration Act, 1868," the No. of the Crown grant, or the last registered No. on the Deeds Register: By whom the property is occupied, and, if by a tenant, state the rent and other terms of lease: The particulars of any encumbrance on the property, with the name of any mortgagee : If the land is leasehold, state whether all the covenants and conditions on the lessee's part contained or implied in the lease have been complied with up to the date of this application : When lease commenced : ,18 . The annual rent payable by lessee: £ Whether lessee is residing on land or not: . If residing, how long the lessee has been so residing : . If not residing, the reason why, and the conditions under which the land is unoccupied, or occupied otherwise than by the lessee : Improvements: State— The buildings—date of erection, condition, and description, giving the materials :■; The amount of existing insurance, and name of insurance office, number of the policy, and total amount of insurance obtainable : The land—the area cleared of original bush or scrub : ; reclaimed from swamp: ; improved by sowing of English grasses: ; ploughed: ; now or lately cropped, with what crops and what result : . . The extent, condition, value, and description of the fencing, and the number of paddocks into which it subdivides the land : What stock the land is now carrying and now capable of carrying : Value of the land :— Present capital value, as estimated— Improvements. Total Land without : Capital Improvements. Other Im- Value. Buildings. provements . _____ . __ _ __ By applicant J?or local rating For a forced sale

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