A 4
[Subsidiary]
CAP. 289] Tax Reserve Certificates (Fourth Series) [1980 Ed.
Rules
L.N. 114/70.
I. FOR USE WHEN THE CERTIFICATE IS TENDERED IN PAYMENT OF TAX
I, (1), being the holder/the legal personal representative of the holder/authorized to sign on behalf of the holder(2) named in this Certificate, request that the principal sum (or so much thereof as is required) together with any interest payable be applied in payment or towards payment of tax which is payable by the holder under the Inland Revenue Ordinance as shown on the accompanying documents of demand and the balance (if any) to be dealt with in accordance with rule 8 of the Tax Reserve Certificates (Fourth Series) Rules.
II. FOR USE WHEN THE HOLDER WISHES TO REDEEM CERTIFICATE AT FACE VALUE
I, (1), being the holder/the legal personal representative/authorized to sign on behalf of the holder(2) named in this Certificate, request that the sum of $.. being the whole of the principal sum, be repaid to the holder.
Date
Signature
(1) Insert full name of person signing this Certificate.
(2) Delete the alternatives which do not apply.