that I am of the age of 17 years and upwards:

that I am, subject to the provisions of the Land Act 1948, applying for (or desirous of becoming the transferee of a lease or licence of) the land described in the attached application:

that I am seeking to acquire the said land solely for my own use and benefit, and not directly or indirectly for the use or benefit of any other person or persons whomsoever:

that my answers to the questions on the attached application are true and correct in every particular.

all improvements on the land: $[amount]

the Crown’s improvements at the commencement of the lease: $[amount]

land exclusive of improvements: $[amount]

all improvements on the land: $[amount]

Crown improvements at commencement of the lease: $[amount]

land exclusive of improvements: $[amount]

you accept the offer of a renewed lease at a rental of $[amount] per annum for the first 11 years of the term of the lease and will purchase the Crown improvements for $[amount] cash.

you accept the offer of a renewed lease at a rental of $[amount] per annum for the first 11 years of the term of the lease and will purchase the Crown improvements by payment of a deposit of $[amount] and half-yearly instalments of $[amount] (interest rate reviewable in accordance with section 170B of the Land Act 1948).

you desire a renewed lease and require the values specified in paragraphs (a), (b), and (c) of this notice to be fixed by the Land Valuation Tribunal.

you do not desire a renewed lease and agree to the value specified in paragraph (a) of this notice.

you do not desire a renewed lease but require the value specified in paragraph (a) of this notice to be fixed by the Land Valuation Tribunal.

you do not desire a renewed lease but require the value specified in paragraph (b) of this notice to be fixed by the Land Valuation Tribunal.

I/We accept the offer of a renewed lease at a rental of $[amount] per annum for the first 11 years of the term of the lease, and will purchase the Crown improvements for $[amount] cash.

I/We accept the offer of a renewed lease at a rental of $[amount] per annum for the first 11 years of the term of the lease, and will purchase the Crown improvements by payment of a deposit of $[amount] and half-yearly instalments of $[amount] (interest rate therein reviewable in accordance with section 170B of the Land Act 1948).

I/We desire a renewed lease, and require the values specified in paragraphs (a), (b), and (c) of your notice to be fixed by the Land Valuation Tribunal.

I/We do not desire a renewed lease, and agree to the value specified in paragraph (a) of your notice.

I/We do not desire a renewed lease, but require the value specified in paragraph (a) of your notice to be fixed by the Land Valuation Tribunal.

I/We do not desire a renewed lease, but require the value specified in paragraph (b) of your notice to be fixed by the Land Valuation Tribunal.

all improvements on the land: $[amount]

the Crown’s improvements at the commencement of the lease: $[amount]

land exclusive of improvements: $[amount].

you agree to pay the yearly rent of $[amount] for the next ensuing period of 11 years, or whether

you require the values referred to in paragraphs (a), (b), and (c) above to be fixed by the Land Valuation Tribunal.

to pay the yearly rent of $[amount] for the next ensuing period of 11 years.

to have the values referred to in your notice fixed by the Land Valuation Tribunal.

by a payment of $[amount] before the execution of these presents such payment (which has been duly made) being in respect of rent in advance for the first half year computed as aforesaid together with rent for the period elapsing between the date of this lease and the commencement of the said first half year; and also

by the payment thereafter of $[amount] half-yearly in advance on 1 January and 1 July in each and every year during the said term the first of such payments to become due and to be made on the first day of [month, year]. And also paying in respect of the said improvements specified in the Schedule of this form unto the aforesaid Department the respective instalments specified in that schedule at the dates therein respectively mentioned in that behalf.

The lessee will reside continuously on the said land from the date of this lease unless exempted by the Board from so doing. Any exemption granted by the Board may be subject to such terms and conditions as the Board thinks fit.

The lessee will put on the said land improvements (within the meaning of the Land Act 1948), as under: [set out improvements to be effected].

The lessee will fully and punctually pay the rent hereby reserved at the times and in the manner hereinbefore named in that behalf.

With reference to the improvements which have been valued separately as aforesaid and the instalments in respect thereof as specified in the Schedule of this form the following special provisions shall apply:

The lessee will pay all rates taxes and assessments levied on or payable in respect of his occupation of the said land during the said term.

The lessee will hold and use the said land bona fide for his own benefit and will not transfer assign sublet mortgage charge or part with possession thereof or any part thereof without the previous written permission of the Board.

The lessee will at all times during the said term maintain and keep in good repair and condition to the satisfaction of the Commissioner all the improvements specified in the Schedule of this form and all buildings fences and improvements of whatsoever kind or nature now or hereafter to be erected constructed or effected upon the said land.

The lessee will whenever necessary or whenever called upon by the Commissioner to do so properly clean and clear from weeds and will at all times during the said term keep open all creeks drains ditches and watercourses now or hereafter upon the said land and the Commissioner shall have the power to enter upon at any time and make through the said land any drain that he deems necessary without payment of any compensation to the lessee.

The lessee will clear and keep clear the said land of all blackberry gorse tall fescue and other noxious weeds and from rabbits or other noxious vermin and will not carry on or permit to be carried on upon the said land any noxious noisome or offensive trade or business.

The lessee will throughout the said term farm and manage the said land diligently and in a husbandlike manner according to the rules of good husbandry and will not in any way commit waste.

On the expiration by effluxion of time of the term hereby granted and thereafter at the expiration of each succeeding term to be granted to the lessee the lessee shall have a right to obtain a renewal lease of the said land hereby leased at a rent to be computed at the rate of 4 pounds 10 shillings per centum on the then value of the said land exclusive of all improvements for the same term but less 1 day as the lessor shall renew the head lease from the [specify] before referred to and such renewal lease granted to the lessee shall be subject to such of the covenants and conditions of this lease as are applicable to such renewal lease, and also such covenants and conditions as may be required under the terms of the renewal of the head lease:

Not later than 6 calendar months previous to the expiration by effluxion of time of the term hereby granted or such succeeding term as aforesaid the Board shall cause a valuation to be made of the said land exclusive of all improvements and shall forthwith in writing notify the lessee of the amount of such valuation and the amount of the annual rental payable under a renewal lease for a further term as hereinbefore provided.

Within 3 calendar months after the receipt of the notice referred to in the last preceding clause the lessee shall notify the Board in writing signed by him or by his agent duly authorised that—

Any such notice may be given by the lessee within the time aforesaid although the term hereby granted has already expired by effluxion of time and although the said valuation has not been made or notice thereof has not been given to the lessee until after the expiration of the said term by effluxion of time unless before the giving of such notice by the lessee he has given up the possession of the said land or has been duly ejected therefrom in pursuance of the judgment or order of any court of competent jurisdiction or the lessor has re-entered upon the said lands as hereinafter provided.

Any such notice by the lessee of his desire to have a renewal lease over the said land whether he accepts the valuation of the land exclusive of improvements as set out in the Board’s notice or requires that valuation to be determined by the Land Valuation Tribunal shall be deemed to constitute a contract between the lessor and the lessee for the granting and acceptance of a renewal lease at the rental so fixed and for the same term and subject to the same covenants and conditions including the right of renewal as are herein contained.

If the lessee fails within the time aforesaid to give any notice whether he desires a renewal lease or not or if he gives notice that he does not desire a renewal lease then within 2 months after the expiry of the time within which such notice may be given or within such further or other time as may be agreed on between the Commissioner and the lessee the Board shall cause a valuation to be made of the improvements on the said land belonging to the lessee at the expiry of the said period of 2 months or other further period as aforesaid.

Where the lessee has notified the Board that he does not desire a renewal lease, the valuation of the improvements referred to in the last preceding clause shall forthwith be notified in writing by the Board to the lessee and within 1 calendar month of the receipt of that notice the lessee shall notify the Board in writing that he agrees to the said valuation of the improvements or that he requires the value to be determined by the Land Valuation Tribunal. If the lessee does not notify the Board in writing as aforesaid he shall be deemed to have agreed to the said valuation.

Where the lessee notifies the Board pursuant to clause 13 that he requires the value of the land exclusive of improvements or pursuant to clause 17 that he requires the value of the lessee’s improvements to be determined by the Land Valuation Tribunal, the Board shall as soon as possible file in the nearest office of the Land Valuation Tribunal an application to have the value of the land exclusive of improvements or the value of the lessee’s improvements, as the case may be, determined by that Tribunal, and the application shall be dealt with in accordance with the provisions of the Land Valuation Proceedings Act 1948.

As soon as practicable after the ascertainment of the value of the lessee’s improvements as aforesaid the Commissioner shall offer for general public application a renewal lease of the said land for the further period prescribed in clause 11 at the annual rental determined in accordance with clause 11 subject to payment by the incoming lessee of the value of the outgoing lessee’s improvements ascertained in manner aforesaid. Such amount shall be paid to the Commissioner before the incoming lessee is admitted into possession and the Commissioner shall pay the same to the person entitled thereto less any moneys due in respect of the said land by the outgoing lessee and in case of re-entry by the lessor as hereinafter provided less also the amount of expenses incurred in recovering possession of the said land and in respect of the redisposal thereof.

If and so often as the lessee makes default for a period of 1 calendar month in the due and full payment of any rent hereby reserved or of any instalment in respect of improvements as aforesaid or of any sum in respect of the cost of insurance as aforesaid or of any other moneys payable under this lease or in the faithful observance of any other of the covenants or conditions herein contained or implied or by the lessee to be observed and performed then and in any such case it shall be lawful for the Commissioner forthwith or at any time or times thereafter to re-enter and take possession on behalf of the lessor of the said land and determine the estate and interest of the lessee therein and that without discharging the lessee from liability for rent or instalments or other moneys due or accruing due or for any previous breach of covenant. In the event of such re-entry or in the event of surrender of this lease the provisions of clauses 16, 19, and 20 respecting valuation of improvements and the disposal thereof shall apply to the improvements in which the lessee has interest.

The lessor hereby reserves and excepts from the lease all minerals (within the meaning of the Land Act 1948) on or under the surface of the soil of the said land together with a free right of way over the said land in favour of the Commissioner or of any person authorised by him and of all persons lawfully engaged in the working, extraction, or removal of any such minerals on or under the surface of the said land, subject to the lessee being entitled to compensation (to be determined by agreement or in default of agreement by the Land Valuation Tribunal) for all damage done to improvements belonging to the lessee in the working, extraction, or removal of any such minerals:

Any notice required by these presents as aforesaid may be served upon the Board by being delivered at the office of the Commissioner and may be served upon the lessee by being given to him or left at his usual or last known place of abode or business or sent addressed to him at such place as aforesaid through the post or left or affixed to the said land or any building thereon: And any notice so served shall be deemed to be duly given to every mortgagee encumbrancee or other person claiming any interest in the premises.

by a payment of $[amount] before the execution of these presents such payment (which has been duly made) being in respect of rent in advance for the first half year computed as aforesaid together with rent for the period elapsing between the date of this lease and the commencement of the said first half year; and also

by the payment thereafter of $[amount] half-yearly in advance on 1 January and 1 July in each and every year during the said term the first of such payments to become due and to be made on the first day of [month, year].

So long as any moneys are owing to the Department in respect of the improvements specified in the Schedule of this form, the lessee will reside continuously on the said land unless exempted by the Board from so doing. Any exemption granted by the Board may be subject to such terms and conditions as the Board thinks fit.

The lessee will put on the said land improvements (within the meaning of the said Act) as follows: [set out improvements to be effected].

The lessee will fully and punctually pay the rent hereby reserved at the times and in the manner hereinbefore named in that behalf.

With reference to the improvements which have been valued separately as aforesaid and the instalments in respect thereof as specified in the Schedule of this form the following special provisions shall apply:

The lessee will pay all rates taxes and assessments levied on or payable in respect of his occupation of the said land during the said term.

The lessee will hold and use the said land bona fide for his own benefit and will not transfer assign sublet mortgage charge or part with possession thereof or any part thereof without the previous written permission of the lessor and, so long as any moneys are owing to the Department in respect of the improvements specified in the Schedule of this form, without also the previous written permission of the Board.

The lessee will at all times during the said term so long as any moneys are owing to the Department in respect of the improvements specified in the Schedule of this form maintain and keep in good repair and condition to the satisfaction of the Commissioner all those improvements and will at all times during the said term maintain and keep in good repair and condition to the satisfaction of the lessor all other buildings fences and improvements of whatsoever kind or nature now or hereafter to be erected constructed or effected upon the said land.

The lessee will whenever necessary or whenever called upon by the lessor to do so properly clean and keep clear from weeds and will at all times during the said term keep open all creeks drains ditches and watercourses now or hereafter upon the said land and the lessor shall have the power to enter upon at any time and make through the said land any drain that he deems necessary without payment of any compensation to the lessee.

The lessee will clear and keep clear the said land of all blackberry gorse tall fescue and other noxious weeds and from rabbits or other noxious vermin and will not carry on or permit to be carried on upon the land any noxious noisome or offensive trade or business.

The lessee will throughout the said term farm and manage the said land diligently and in a husbandlike manner according to the rules of good husbandry and will not in any manner commit waste.

On the expiration by effluxion of time of the term hereby granted and hereafter at the expiration of each succeeding term to be granted to the lessee, the lessee shall have a right to obtain in accordance with the provisions hereinafter contained a renewal lease of the said land at a rent to be computed at the rate of 4 pounds 10 shillings of the then value of the said land exclusive of all improvements.

Not later than 6 calendar months before the expiration by effluxion of time of the term hereby granted or such succeeding term as aforesaid the lessor shall cause a valuation to be made of the said land exclusive of all improvements and shall forthwith notify the lessee in writing of the amount of that valuation and of the annual rent payable under a renewal lease for a further term as hereinafter provided.

Within 3 calendar months after the receipt of the notice referred to in the last preceding clause the lessee shall notify the lessor in writing signed by him or by his agent duly authorised that—

Any such notice may be given by the lessee within the time aforesaid although the term hereby granted has already expired by effluxion of time and although the said valuation has not been made or notice thereof has not been given to the lessee until after the expiration of the said term by effluxion of time, unless before the giving of such notice by the lessee he has given up the possession of the said land or has been duly ejected therefrom in pursuance of the judgment or order of any court of competent jurisdiction or the lessor has re-entered upon the said land or the Commissioner has entered and taken possession of the said land on behalf of the Board as hereinafter provided.

Any such notice by the lessee of his desire to have a renewal lease over the said land whether he accepts the valuation of the land exclusive of improvements as set out in the lessor’s notice or requires that valuation to be determined by the Land Valuation Tribunal shall be deemed to constitute a contract between the lessor and the lessee for the granting and acceptance of a renewal lease at the rental so fixed and for the same term and subject to the same covenants and conditions including the right of renewal as are herein contained.

If the lessee fails within the time aforesaid to give any notice whether he desires a renewal lease or not or if he gives notice that he does not desire a renewal lease then within 2 months after the expiry of the time within which such notice may be given or within such further or other time as may be agreed on between the lessor and the lessee the lessor shall cause a valuation to be made of the improvements on the said land belonging to the lessee at the expiry of the said period of 2 months or other further period as aforesaid.

Where the lessee has notified the lessor that he does not desire a renewal lease, the valuation of the improvements referred to in the last preceding clause shall forthwith be notified in writing by the lessor to the lessee and within 1 calendar month of the receipt of that notice the lessee shall notify the lessor in writing that he agrees to the said valuation of the improvements or that he requires the value to be determined by the Land Valuation Tribunal. If the lessee does not notify the lessor in writing as aforesaid he shall be deemed to have agreed to the said valuation.

Where the lessee notifies the lessor pursuant to clause 13 that he requires the value of the land exclusive of improvements or pursuant to clause 17 that he requires the value of the improvements to be determined by the Land Valuation Tribunal, the lessor shall as soon as possible file in the nearest office of the Land Valuation Tribunal an application to have the value of the land exclusive of improvements or the value of the improvements, as the case may be, determined by that Tribunal, and the application shall be dealt with in accordance with the provisions of the Land Valuation Proceedings Act 1948.

As soon as practicable after the value of the improvements has been determined as hereinbefore provided the lessor shall offer for general public application a renewal lease of the said land for the further period prescribed in clause 15 at the annual rental determined in accordance with clause 12 subject to payment to the lessor by the incoming lessee of the value of the improvements as hereinbefore determined. Such amount shall be paid to the lessor before the incoming lessee is admitted into possession of the said land and the lessor shall pay the same to the outgoing lessee or other person entitled to receive payment less any moneys due in respect of the said land by the outgoing lessee and in case of re-entry by the lessor as hereinafter provided less also the amount of expenses incurred in recovering possession of the said land and in respect of the redisposal thereof.

If and so often as the lessee makes default for a period of 1 calendar month in the due and full payment of any rent hereby reserved or in the faithful observance of any other of the covenants or conditions herein contained or implied or by the lessee to be observed and performed then and in any such case it shall be lawful for the lessor forthwith or at any time or times thereafter to re-enter and take possession of the said land and determine the estate and interest of the lessee therein and that without discharging the lessee from liability for rent or instalments or other moneys due or accruing due for any previous breach of covenant. In the event of such re-entry or in the event of surrender of this lease the provisions of clauses 16, 19, and 20 respecting valuation of improvements and the disposal thereof shall apply to the improvements in which the lessee has interest.

If and so often as the lessee makes default for a period of 1 calendar month in the due and full payment of any instalment in respect of improvements as aforesaid or of any sum in respect of the cost of insurance as aforesaid or in the faithful observance of any other covenant or condition herein contained or implied or by the lessee to be observed or performed then and in every such case it shall be lawful for the Commissioner forthwith or at any time or times thereafter to enter and take possession of the said land on behalf of the Board and to transfer the lease to any person on such terms and conditions as the Board thinks fit and that without discharging the lessee from liability for instalments or other moneys due or accruing due or for any previous breach of covenant: And the lessee hereby irrevocably appoints the Commissioner to be his attorney so long as any moneys are owing to the Department in respect of the improvements specified in the Schedule of this form to execute in the name of the lessee any transfer or other document required to give full effect to the foregoing provisions of this clause.

Any notice required by these presents as aforesaid may be served upon the lessor by being delivered at the office of the lessor and may be served upon the Board by being delivered at the office of the Commissioner and may be served upon the lessee by being given to him or left at his usual or last known place of abode or business or sent addressed to him at such place as aforesaid through the post or left or affixed to the said land or any building thereon: And any notice so served shall be deemed to be duly given to every mortgagee encumbrancee or other person claiming any interest in the premises.