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The Pamphlet Collection of Sir Robert Stout: Volume 76

Form of Application

Form of Application

Application for Pastoral Land for Lease as Small Grazing-run under "The Land for Settlements Act, 1894," and its Amendments.

To the Commissioner of Crown Lands for the Land District of I Hereby apply for a lease of one of the following allotments as a small grazing-run:— Allotment or Run. Survey District. Block. Section. Area. Annual Payments. Capital Value. Prescribed Deposit. Remarks. For Bent. For Value of Buildings. Of Land. Of Build-ings. A. R. p. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d.

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Flaxmill on the Awatere, near Site of Railway-bridge.

Flaxmill on the Awatere, near Site of Railway-bridge.

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And I deposit herewith the sum of £_______, being the half-year's installment of rent, and other payments prescribed in respect of the small grazing-run applied for *.

In proof of my fitness and qualifications to hold the land applied for, I hereby make the following replies to the under-mentioned questions:—
Question. Answer.
1. How old were you last birthday?
2. What means (including stock and implements or machinery) do you possess for stocking and cultivating the land, and erecting suitable buildings thereon; and what is the total value thereof?
3. Have you means sufficient, in your estimation, to enable you to profitably work the land and fulfil the conditions of the lease? If not, state how you propose to do so.
4. What experience have you had in working a run?
5. What is your present occupation?
6. Are you married? If so, has your wife (or husband) had any experience in working a run? Give particulars.
7. Have you any family? If so, state the number and sex of your children now living with you, and their ages.
8. What land do you hold or have an interest in? Give particulars of the number of block, section, area, and value of such land, and say whether it is freehold, leasehold, or what other tenure, specifying also what portion of it (if any) is rural and what portion (if any) is town or suburban land.
9. What land does your wife (or husband) hold, or have an interest in? Give particulars as above.
10. Is the rural land (if any) mentioned in answers 8 and 9 insufficient for the maintenance of yourself and your family? If so, give your reasons.
11. Is the town or suburban land (if any) mentioned in answers 8 and 9 insufficient for a home for yourself and your family? If so, give your reasons.