1901_RATING_ORDINANCE__1901 — Page 13

1901:]

(Signed.)

Assessor.

HONGKONG.

Το

BOEIDDUD

FORMS

FORM NO. 1.

Requisition for Particulars as to Tenements.

THE RATING ORDINANCE, 1901.—ASSESSMENT FOR THE YEAR 19

1st July to 30th June.

Section 4.

In pursuance of the Rating Ordinance, 1901, I require you to furnish me with the particulars relating to these Tenements in within ten days from the date hereof.

the manner specified below, and return the same to me at

RATING.

RETURN OF HOUSES, BUILDINGS, AND LANDS IN HONGKONG OF WHICH THE UNDERSIGNED IS OWNER OR OCCUPIER,

Street.

Lot

No, of

Assess-

ment.

Name No.

De-

scrip-

tion.

Owner's distinguish- ing No, or Name of Tenement.

Description of Tenement.

1. Whether Dwelling

House with Out- houses and Garden occupied therewith,or 2. Warehouse or other Building, etc., separately occupied.

It

Name and Calling of

Godowns,

Occupier,

state

Storage

Capacity.

whether

Owner or

'Le8800.

If the

Tenement

is.

sub-divided, state No.

of Sub-

Tenants

and Rent

paid by

each.

Total Rent for the current Month

for the whole Tenement. State if this includes Rates, and if any portion

of the

Tenement is unoccupied.

10

If the Tenement is sub-divided, what percentage from the Total Annual Ront do you consider you lose from portions

of the Tenement being at times void P

11

If the whole Tenement is let or leased, the Period of Tenure when entered upon, and

whether the

premises are kept in repair by the Owner or by the Lessee at his own cost.

Dated the

day of

19

[No. 8.

865

Dated the

day of

19

(Signed.)

Owner [or Occupier.]

Note-Every person who knowingly furnishes any false or incorrect particulars is liable to a penalty not exceeding one hundred dollars for each tenement in respect of which such false or incorrect particulars are furnished. If the above information is not furnished within ten days, no appeal from the Assessment will be allowed:

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