Third Schedule. (2), The Sherbro Urban District Council Ordinance

FoRM 1. (First Schedule, Part I, paragraph 1.) VALUATION LIST. Number of house or Description Name of Name of Annual Name of plot of land of Premises Owner Occupier rateable Remarks Street in Street value FORM 2. (First Schedule, Part I, paragraph 2.) DECLARATION AS TO YEARLY RENT OF PREMISES. Name ....................................................................... . Premises ................................................................. . Rented from .................................................... .. or let to ................................................................. . Rent per annum. .............................................. . Date .................................... 19 ...... . I, ......................................................................................... . of~······························································································ do hereby declare that the rent payable byjto me in respect of the premises No ........................................... in ......................................... . .......................................... Street, ······································-·· rented/let by me ........................................................... . mejto .......................................................... ..is at the rate of. .....................................................per annum. Declared.................................... l9 ...... . Before me Signature or mark of Declarant. Valuer. FORM 3. Section 86. THE DISTRICT RATE. An assessment for the District Rate of the Sherbro Urban District made by the Sherbro Urban District Council this .................................... day of. .................................. .l9 ...... , at the rate of.................................... pence in the pound. Arrears Due or Name of Name of Description of Property Name or Situation Estimated Annual Rate at d. in if Excused Occupier Owner Rated of Property Extent Value the Pound £ 8. d. £ 8. d. £ 8. d. 1 ... 2 ... 3 ... 4 ... ga ~ ~0"' ~ t:::1 ~· ~: ~ ~~ r--1 f~ t-:) -1