1983 Ed.]

To: The Lands Tribunal

致:土地審裁處

and to:

並致:

Address for service:

送達地址:

*I/We

*本人/余等

as "owner

Lands Tribunal Rules

[CAP.17

A 27

[Subsidiary]

FORM 12

表格十二

NOTICE OF APPEAL TO Lands Tribunal UNDER RATING ORDINANCE

根據差餉條例向土地審裁處上訴通知書

of.

地址為

(r. 47.)

(規則第四七條)

L.N. 84,77.

CN336/90

Delete whichever

*請將不適用

者刪去。

身份爲*業主

*occupier

*佔用人

(specify any other capacity)

(如屬其他身份,請在此列明),

require(s) the Lands Tribunal to hear an appeal against the decision of the

茲向土地審裁處上訴,請求審裁差餉物業估價署

Commissioner of Rating and Valuation that

署長所作出之下述決定:

(describe the tenement and summarize the decision affecting it)

(填寫有關之產業並概述影響該產業之決定)

The decision was served on *me/us by the Commissioner pursuant to section

上述決定係該署長根據該條例第三九/四十條第(二)款送達

39/40(2) of the Ordinance on the

*本人/余等者。送達日期為一九

The grounds of the appeal are

上訴之理由為

that

The Tribunal is requested to make an order under section 44(1) of the Ordinance

茲請求土地審裁處根據該條例第四四條第(一)款頒發命令,

↑ Note section 42(2)

of the Ordinance.

†請注意該條例第四二條第(二)款之規定。

Dated the

日期:

To: The Lands Tribunal

致:土地審裁處

and

(set out the remedy sought)

(列明所要求之補救辦法)

day of

19

B

(to be signed by or on behalf of the appellant)

(由上訴人或其代表簽署)

The Commissioner of Rating and Valuation

差餉物業估價署署長

Address for service:

送達地址:

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