First Schedule.

"The West Coast Settlement Reseeyes Act, 1881."

Tender for Agricultural Lease.

To the Public Trustee.

I [or We], the undersigned, do hereby tender for Section, Block _____,_____ Survey District, as notified by an advertisement published in the _____ of the _____ day of, 188, and in accordance with the conditions of tender exhibited at _____, for the sum of £_____per annum for the whole term of _____ years. I [or We] enclose herewith for £, being the deposit payable as required.

Should the tender be accepted, I [or We] undertake to sign a lease of the said land within twenty-one days after receiving notice of such acceptance.

Dated this _____ day of _____, 188 .