io8 



GREAT BRITAIN AND IRELAND - MISCELLANEOUS 



Appendix IH. A. Form of Provisional Valuation. 

 blNASCE {igog-io) ACT, igio. 



DUTIES ON LAND VALUES 



PROVISIONAI, VALUATION. 



The name of the parish 

 and number of thehere- 

 ditament should be 

 quoted in all commu- 

 nications. 



The Commissioners of Inland Revenue have caused to be made the following 

 Pro\isional Valuation of the land described above: — 



Original Gross Value . 



H 



DEDUCTIONS FROM GEOSS VALUE 



DEDUCTIONS FROM TOTAI, VALUE TO ARRIVE AT ASSESSABLE SITE VALUE 



OMGINAL ASSESS.-iULE SlTE VALCE 



..£| 



Value of Agricultural Land for Agricultural purposes where different from 

 Assessable Site Value ~. £ 



Given under my hand this 

 {Signed) 



day of . 



191 



( v. 



I Coi 



Form 36. 



'.iluer appointed by the 

 Commissioners of Inland Revenue. 

 District. 



