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SCHEDULE.
Form No. 1.
Notice of Valuation.
The Emergency Rates Proclamation, 194.
22
Sec.13 (27
To the owners or occupiers of the undermentioned tenements.
You are hereby informed that the tenements specified below have been assessed to the rates under the above-mentioned Proclamation at the rateable values separately entered against them.
Dated the
day of
194 .
(Signed)
Rating Authority
No. of Lot No.
Street
Nature
assess- ment.
Name
No.
of tenement
Rateable Remarks
value
Form No. 2.
Sec.18 (1) (c) 7
Application for refund of rates
The Emergency Rates Proclamation, 194
To the Rating Authority.
Sir,
Date.
194
•
I request that refund may be made of the rates paid on the tenements and for the periods stated below.
Notice has already been given to you that these tenements were unoccupied.
The periods stated below do not include any broken month and the tenements remained unoccupied during the periods stated.
The rates in question were paid into the Colonial Treasury in advance during the first month of the quarter to which this application relate s.
I am, &c.
(Signed)..
.Owner.
(or Agent).
No.
Street
Period for which refund
is claimed
Amount claimed
Received the sum of dollars.
the
day of
194
•
(Signed)
This receipt must not be signed until the claim has been allowed.
•
.Owner.
(or Agents)