104 



GREAT BRITAIN AND IRElvAND - MISCE1,I.ANE0US 



Appendix II. — Form of Claim for Site Value Deductions. 



DUTIES ON LAND VALUES. 



FINANCE (1909-10) ACT, 1 9 10 



ClyAIM FOR SITE VALUE DEDUCTIONS 



Reference 



to be quoted in all 



communications. 



Particulars to be furnished by an Owner of I^and, or person receiving 

 Rent in respect of I^and, who desires to claim deductions in arriving at the 

 Assessab e Site Value of the lyand. 



IMPORTANT. — As the Land is to be valued as on ^othA pril, 1909, ihe particulars s}iould 

 be furnished as far as possible wi'h reference to the circumstances existing on that date. 



When completed, the clam should be delivered or sent in the accompanying ftanked 

 envelope to the D strict Valuer at 



I. Name, description, and precise situa- 

 tion of the I«and 



3. If the particulars given under heads 

 (i) and (2) are not sufficient to identify the 

 I<and, 



(a) Annex a plan of the Eand, or, 

 (6) Quote the number or numbers of 

 th' Land on th' 25 inch Ordnance 

 Survey Map, or, 

 (c) If it is desired to identify the 

 Lanrl on an ofBcia! plan, the desire 

 should be nlicated here 



4. Particulars and amounts of any deductions not 

 specified below which are claimed for the purpose of 

 arriving at th.- Assessable Site Value. 



Particulars Amounts 



