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Form No. 4.

In the matter of the Native land heretofore known as, and of the investigation of the title thereto.

At a sitting of the Court held at, on the day of, 189, before, Esq., Judge, and, Assessor:

It having been ascertained and decided that the Natives whose names are set out in the first column of the Schedule indorsed hereon, and therein numbered respectively one to, both inclusive, are the Natives entitled in the relative proportions set out after the name of each of them in the second column of the said Schedule to the said land [or to a parcel of land to be called or known as, and estimated to contain]:

It is hereby ordered that, upon approval by a Judge of a plan of the said parcel of land, duly approved by the Chief Surveyor in accordance with the regulations, the order of the Court declaring the said Natives to be the owners of the said parcel of land in the said relative proportions shall be signed and sealed. And it is hereby declared that so much and such part of the share of each owner as is set out in the third column of the said Schedule shall be inalienable.

The Schedule witin referred to.

First Column.		Second Column.	Third Column.*
Name.	Sex, and, if Minor, Age.	Relative Interest.	Part declared inalienable.

*When the land is inalienable, the proportional interests should be shown in this column.