1950-HKRS30-8-40_Part03 — Page 4

HONG KONG

To

FORM

Requisition for particulars THE RATING ORDINANCE, 1901,—ANNUAL

(S. 4, 43)

1st April to

os to tenemental,

VALUATION FOR THE YEAR 19

31st March.

19

In pursuance of 3. 4 of the Rating Ordinance, 1901, I require you to in the manner specified below, and return the same to me at the RATING TEN DAYS from the day hereof.

furnish me with the particulare relating to the undermentioned tonement(s) & VALUATION DEPARTMENT, WINDSOE HOUSE, 3RD FLOOR, within

Dated the

day of

KUTOKU.....100

RETURN OF HOUSES, BUILDINGS AND LANDS IN THE COLONY OF HONG

1.

8.

Street də District.

Scridice No.

Name of

Street of

Dutrict.

Lot Na. (und Bastion thereof)

4.

Cheweription of Tenement

For

Nam

of Hou

example?-

(if Bor)

Ox

Bubblers (if any)

Foues

[5] Flat.

(o) Shop.

[d) Factors.

Ha) Godawa.)

Dated

D.

day of

.19

+

(Signed)

Commissioner,

Rating & Valuation Department.

KONG OF WHICH THE UNDERSIGNED IS OWNER OR OCCUPIER.

p

1.

19.

10.

11

Address

(Signed)

Owner or Occupier,

Note-Every owner or occupier who refuses or neglects to furnish the parti particulars, is liable upon summary conviction to a fine of two thou furnished within ten days, no appeal from the valuation will be

culars_required, and every person who knowingly furnishes any false or incorrect sand dollars and to imprisonment for six months. If the above information is not allowed.