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VIII. Muster entsprechend VII bei der Bewerbung um ein small grazing run

(vgl. Seite 85 und 88).

Question.

Answer.

1. How old were you last birthday ?

2. What means (including stock and implements or machinery) do you possess for stocking and cultivating the land, and erecting suitable buildings thereon; and what is the total value thereof ?

3. Have you means sufficient, in your estimation, to enable you to profitably work the land and fulfil the conditions of the lease ? If not, state how you propose to do so.

4. What experience have you had in working a run ?

5. What is your present occupation ?

6. Are you married ? Is fo, has your wife (or husband) had any experience in working a run ? Give particulars.

7. Have you any family ? If so, state the number and sex of your children now living with you, and their ages.

8. What land do you hold or have an interest in? Give particulars of the number of block, section, area, and value of such land, and say whether it is freehold, leasehold, or what other tenure, speci- fying also what portion of it (if any) is rural and what portion (if any) is town or suburban land.

9. What land does your wife (or husband) hold, or have an interest in ? Give particulars as above.

10. Is the rural land (if any) mentioned in answers 8 and 9 insufficient for the maintenance of yourself and your family ? If so, give your reasons.

11. Is the town or suburban land (if any) mentioned in answers 8 and 9 insufficient for a home for yourself and your family ? If so, give your reasons.

Declaratio n.

I, , of , , do solemnly and sincerely declare, —

1. That I am of the age of twenty-one years and upwards.

2. That I am the person who, subject to the provisions of "The Land for Settlements Consolidation Act, 1900," and the regulations made thereunder, am applying for one of the small grazing-runs described in the foregoing application.

3. That I am acquiring such run solely for my own use and benefit, and not directly or indirectly the use or benefit of any other person or persons whomsoever.

4. That I am not, directly or indirectly, either by myself or jointly, with any other person or persons, the owner, tenant, or occupier of any land whatsoever under the present or former Land for Settlements Acts, nor the owner in fee simple, nor the tenant or occupier under a lease for a term whereof not less than two years are unexpired, of any other land in the colony which with the largcst run included in the foregoing application would exceed

acres.

5. That the total value of all the real and personal property owned by me does not (alter dedueting the eneumbrances thereon) exceed one and a half times the capital value (exclusive of buildings) of any run comprised in the foregoing application.

6. That my answers to the foregoing questions (Nos. 1 to 11) are true and correct in every particular.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of an Act of the General Assembly of New Zealand intituled "The Justices of the Peace Act, 1882." (Signatare in füll.)