Schedule., The Freetown Municipality UJ

FORM A. THE FREETOWN MuNICIPALITY BUILDING ScHEME ORDINANCE. Application for an advance from the Building Scheme Fund by the owner of the premises commonly known as .................................... situate in the .................................... Ward of the City and numbered .................................. ..in the Valuation List of that Ward for the year 19 ...... . 1. Name of applicant ......................................................................................... . 2. Address ....................................................................................................................... . 3. Occupation ........................................................................................................... . 4. Purposes for which an advance is required ............................. . 5. (a) Amount (if any) which the applicant is prepared to contribute to the total cost (b) Amount of advance required Total cost 6. Approximate annual income of applicant 7. Maximum monthly amount applicant can repay 8. Estate or interest of the applicant in the abovementioned premises ... 9. Incumbrances thereon, if any ... 10. Whether or no the above-mentioned premises are insured against loss or damage by fire 11. What collateral security (if any) the applicant is prepared to offer Dated the .................................... day of.................................... 19 ...... . (Signature of applicant). I the said .................................... do solemnly and sincerely declare that all the particulars furnished by me in respect of the above-mentioned items 1 to 4 inclusive and 5 to 10 inclusive are correct. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act, 1835. Declared at Freetown this .................................... day of. .................................. .19 ...... . (Signature of applicant). Before me .................................... . A Justice of the Peace. FoRM B. TBE FREETOWN MuNICIPALITY BUILDING ScHEME ORDINANCE. It is hereby agreed by and between the City Council and ................................... . ·nafter referred to as the applicant) that the City Council shall pay (herel .................. out of the Building Scheme Fund to .................................... or such £.. h·······p~rson or persons as they shall appoint for the purpose of doing the ot ~s next hereinafter mentioned on the applicant's premises commonly ;o~wn as .................................... situate in the .................................... W ard of the City and ~~mbered .................................. .in the Valuation List for that Ward for the year 19 ...... :- p ment of the said amount may be made by instalments during the progress ;[he work or in a lump sum on completion thereof but subject, in either case, t o the work having been done to the satisfaction of the City Council's 0 • representative. And it is hereby further agreed by and between the said parties that the City Council shall advance moneys out of the said Fund for the purpose of insuring and keeping insured ~ll or ~ny of t~e buildings on the said premises against loss or damage by fire m the1r name m the sum of£ .................................... , and any moneys which may be recovered under such insurance shall be applied in making good the loss or damage or in repayment of the amount outstanding on this security at the option of the City Council. And I the applicant hereby acknowledge that my said premises are charged with the repayment of all sums actually paid by the City Council in respect of the above-mentioned works up to the said total amount of£ ....................... . and with all moneys expended by them in effecting and keeping on foot any such insurance as aforesaid, and I hereby agree that the amount outstanding from time to time on this security shall bear interest at the rate of... .......................... . per centum per annum until repayment thereof, which shall· be made in accordance with the following table and as a debt due to the City Council- Dated this .................................... day of.. .................................. l9 ...... . Mayor. Witness to signatures: Applicant.