New Zealand: Acts affecting Native Lands, 1886, 1888-91 and 1894-95

Second Schedule. — Form of Valuation-list

Second Schedule.

Form of Valuation-list. Sec. 8.

Valuation List for [ Name the district or subdivision], for the Year 18
Number. Occupier. Owner. Discription and Situation of Rateable Property. If let, for what Term, and in what Manner. Rateable Value.
Surname. Christian Name. Trade or Occupation. Surname. Christian Name. Trade or Occupation.

I hereby declare the above statement to be a true and faithful return of all the rateable property in [ Name the district or subdivision] to the best of my knowledge and belief.

Returned this day of, 18

(Signed) A.B., Valuer.

[N.B.—Every entry on the list must be numbered consecutively, from one upwards.]