PARTICULARS oF TENEMENTS IN THE Colony of Hong Kong

FURNISHED BY THE OWNER or OccupieER OR AGENT for Owner or Occures.

1. Mødrew of staddetti.

Have may orüber cütmickéh aliene, such un premi LLOTJA

or communion fees. been pad in addECO en the renes kubead Ea Calummet Si If No, t te JONNILAVEM WYSd when paket. If not, enim oll

PARTICULARS TO 33 FURNISHED IN THE CASH OF NEWLY COMPLETED BUILDINGS --

(1) Total com of que formation incluuliar renalatig velka akad

fend wash.

(2) Toral com of buildings Lochaditel w thouanes, destory-

coal, services, and architect's Been.

Q) (0) Com cd (word.

(8) Date of parebuie.

Lot No.

Section

thereof, if any).

Sple who manis (f any)

are

chourred in addition

to the rent adven in Col

Amma 6 4 4, far services.

(4) I led i pensed, made poonat al bend per annueITT-

(3) Area of land in sq. ft.

Space

I car-parklag

1. | Namae of bukur.

11, provided bod

tional rept paid li mad.

(6) Crawa rent per omvat.

Description of 120MBERL (For

4. FAL

example: out

Chirene temperat,

Sbos, Paciory, Godown. (K)

Suave whether

1.] accopied or el II Jet.

(

(be LECKED COA

leaned a son, KLMEN

period and covondete dr data.

12.00 (0 the whole a kony

pam Dt the Urnement

la lekked by you la another party,

period and commeă- ting dare

CO E innd Jadi brod brems were purchased together, MALE-

(a) Parchand mice.

(5) Dare of problem.

00 Eclated procal cont of Tkoměru.

(5) Exposed manband Jewurkues fit and

alve Bandera af soundON

13.

State TOL mem for THE

Tar

אתר

whole Kaman

Clive

16.

derull

ar

学 pondon

Scape the date at Walch.

the whole or my pics Di

the FENAMEND SWA occupied.

PARTICULARS TO BE FURNISHED IN THE CASE OF REPAIRS, IMPROVE, MENTS OR ADDITIONS TO EXISTING BUILDINGS:-

(1) Nature of routes, unprovedete or medicom.

occupied by the

or unoccupied.

State who repasible

1. for the magreent of raten!

or resant.

17.

or

| State whether owner

14. tenent pays for keeping

the premium in tepkit.

If the real maced in Col

amm && || includes MED-

(2) Toal concludit wit Sucunes, decorulam, servlets,

dke formalan wad kechheri" fetu.

(9) Date of completion of Live TEINĪT, traplovemÆGTE OT

addition,

B

parçaking.

VICES, SUCH sy the toas

nude-cond|shootAF.

cleak.com

A

(Signed)

If the tenement in les In

IHADLIN MATE

TIC

6. neoclved for each part and

whether լեր

reats Jackandr PLUMU.

15. | Wishing al comida purta.

etc.. provided By

540

landlord, save the maturit

of Ebove servicra nad the extruled AALAI LINK.

of providina pume.

Name in

"Owner or Occupier or Agent for Owner or Occupier.

• Dekte an required.

BLOCK LETTERS

Address

Tel. No.

Date

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