5. Does the address and the dea- cription at the premises existing at December 1941? there have been any changes, please indicate the nature of the changes.

FOR DEPARTMENTAL USE,

RA

PE

Standard Rent certifed $.....

Certificate No.

İmamma pewno per

Issued

calendar

month

Indlading eatcluding

Rating and Valuation Surveyor

rated.

Note Book No.

Entered By

STANDARD RENT

(a) If you know the rate of rent recoverable for the premisea unfurnished in December 1941, please atate amount.

(0) If the premises were not let in December 1941, or were then let furnished; then if you know the rate of rent recoverable for the premises unfurnished before that date, please state amount.

(c) Have you By documentary evidence of the above rents? If so please indicate .g. rent receipt, counterfoil of rent receipt, tenancy agreement etc.

7. Have structural alterations or improvements been made to the premises since 25th December 19417

4. If so, who paid for these alter-

ations?

9. Please Indicate which of the following terms are Applicable to

Standard Rent and Present Rent.

COUNCIL CHAMBER,

27th October, 1953-

Explanatory Note.

Clerk of Councils.

This Order prescribes the form in which landlords or tenants may apply under section 4A of the Ordinance to the Commissioner of Rating and Valuation for an assessment of the standard rent of premises.

(Secretariat 9/741/52)

Terms

Per Lunar or Calendar Mouth

Including or Excluding Rates

Including or Excluding Water

Charges

Including or Excluding Hire of Furniture and/or Fur- nishings.

Including or Excluding Ser. vices (e.g. Lifts, cleaning. air-conditioning etc.)

To:-Rating & Valuation Dept.,

G.P.O. Building, Hong Kong.

Standard Kent

Present Rent

(Signed)

Applicant.

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