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The Pamphlet Collection of Sir Robert Stout: Volume 76

Declaration

page 32

Declaration.

I,___, of___,___, do solemnly and [unclear: sincerely] declare,—

1. That I am of the age of twenty-one years and upwards.

2. That I am the person who, subject to the provisions of "[unclear: The] Land for Settlements [unclear: Act], 1894," "The Land for Settlements An Amendment Act, 1896," and the regulations made thereunder, [unclear: as] applying for one of the small grazing-runs described in the [unclear: foregoing] application.

3. That I am acquiring such lease solely for my own use [unclear: and] act benefit, and not directly or indirectly for the use or benefit of [unclear: any] other person or persons whomsoever.

4. That I am not, directly or indirectly, either by myself or [unclear: jointly] with any other person or persons, the owner, tenant, or occupier [unclear: of] any land whatsoever under "The Land for Settlements Act, 1894," or its amendments, nor the owner in fee-simple, nor the tenant [unclear: or] occupier under a lease for a term whereof not less than two [unclear: years] are unexpired, of any other laud in the colony which, with [unclear: the] largest run included in the foregoing application, would [unclear: exceed] 5,000 acres.

5. That the total value of all the real and personal [unclear: property] owned by me does not (after deducting the encumbrances [unclear: thereonly] exceed one and a half times the capital value (exclusive of [unclear: buildings] of any run comprised in the foregoing application.

6. That my answers to the foregoing questions (Nos. 1 to 11) [unclear: are] true and correct in every particular.

And I make this solemn declaration conscientiously believing [unclear: the] same to be true, and by virtue of an Act of the General Assembly [unclear: of] New Zealand intituled "The Justices of the Peace Act, 1882."

(Signature in full.)

Declared at___, this day of___, one thousand___, before me—(Signature),___A Justice of the Peace in and for the Colony of New Zealand (or as the case may be).

Received on___, at___Commissioner of Crown Lands.

By Authority: John Mackay, Government Printer, Wellington.—1899.

[2,500/1/99-[unclear: 38]

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Looking towards the Awatere, from Cemetery across Sections West of Homestead.

Looking towards the Awatere, from Cemetery across Sections West of Homestead.

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From point above Homestead, looking East towards Cape Campbell.

From point above Homestead, looking East towards Cape Campbell.

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From point above Homestead, looking towards Mouth of Awatere.

From point above Homestead, looking towards Mouth of Awatere.

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Photo Lithographed, at the Head Office, Department of Lands and, Survey. Wellington, N.Z. January, 1899 F.W. Flanagan, Chief Draughtsman.

Photo Lithographed, at the Head Office, Department of Lands and, Survey. Wellington, N.Z. January, 1899 F.W. Flanagan, Chief Draughtsman.