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transferred into the names of the said , as trustees for And that the said is absent from New Zealand the society, by [This blank should be filled by the [or as the case may be], names of the surviving or continuing trustees (if any), and if And that has been appointed trustee of the said they be willing and able to make the transfer; but if there be society in place of the sail no such trustee, or if any such trustee refuse or be unable to ("■)* I, as Registrar under tho said Act, hereby direct, purmake the transfer, then by the tvords by such officer or person suant to section 14 of the said Act, that the said [State or persons a 9 the Eegistrar shall direct; and a full statement nature and amount of funds, debentures, securities, or moneys] of the facts and of the grounds of such refusal or inability standing in the names ofthe said be transferred by tho should be made.} said into the names of the said and (Signed) , Secretary. (b.) And that there is no surviving or continuing trustee of , Member. the said society [or that the surviving and continuing trustees , Member. refuse or are unable to transfer the said funds (debentures, , Member. securities, or moneys), in pursuance of my direction]. Eegistered Office, I, as Eegistrar under the said Act, hereby direct, pursuant to Date: day of 18 . section 14 of tbe said Act, that the said sum of , so tv. „,„ -r. ; 0t ,.„-. standing in the books of [or in the control of 1 the Colonial lo the Kegistiar. Treasurer, [or the Bank of , or (Name corporation, body, person or persons in whose books the funds or moneys are standing, or in whose control they are)] be transferred by the said Colonial Treasurer [or by (designate Form No 12 Reg 13 officer, person, or persons by ie horn transfer is directed to be *' made)} into tbe names of the said (Signed) , Eegistrar. New Zealand. Address: Date : day of ,18 . " Friendly Societies Act, 1877." * The paragraphs marked (a) or (S) will be used as the case requires. DECLAEATION VERIFYING STATEMENTS IN AN ____. APPLICATION FOE DIEECTION TO TRANSFER FUNDS OE MONEY. Name of society : Form No. 14.— Reg. 19. Eegister No. I, of , do solemnly and sincerely declare that I New Zealand. am the secretary of the above-mentioned society. That and , whose names are subscribed at the . foot of the application hereto annexed, arc members of the " Friendly Societies Act, 1877." said society. That and have been duly appointed trustees _ _ of the said society. EEFEEENCE OF A DISPUTE. That on the day of , 18 , the sum of Disr ute between and [ an officer of] the was invested in [the purchase of] [Describe nature of society. funds, debentures, securities, or moneys], in the names of the Beoiater N'thcii trustees of the said society, and the declarant believes that ~ ° the said funds [debentures, <ye.] are now standing vested in the \ nE above-named parties, by consent, refer the dispute between names of the said and ,as follows [State as in them to tlle -Registrar. Form No. 11]. (Signed) , Claimant. That the said is absent from New Zealand [or as _, • Officer or Trustees. the case may be]. h... ald, . states as follows :— That on'the day of 18 , the said *■• Tlmt he ls a member [or claims through a member, or was removed from his office of trustee, and was ap- ""der the rules] of the said society, pointed in his place. 2- -"-"at 'le claims to be entitled as follows [Giveparticulars That since such removal application has been made in writing °J the claim.} to the said to join in the transfer of the said funds ,3; I''at the claim is proposed to be supported by the evidence [debentures, securities, or moneys] into the names of the said ?* a } e iollowmg witnesses, and by the production of the follow - ,as trustees for the said society, but lie has refused to mS books and documents [Give list]. comply [or has not complied] with such application. [This Signature : paragraph may be omitted or v.aried as the facts require.] Address: And 1 make this solemn declaration conscientiously believing Date : day of ,18 . the same to be true, and by virtue of an Act of the General The said as an officer (or as trustees) of the said Assembly of New Zealand intituled " The Justices of the Peace society, states [or state] as follows : Act, 1860." _^ 1, That he [or the society] disputes the claim of the said (Signed) , Secretary. on the following grounds [State grounds of dispute]. Made and subscribed at , in the 2. That his case [or the case of the society] is proposed to Colony of New Zealand, this day be supported by the evidence of the following witnesses, and by of ii> the year of our Lord one the production of the following books and documents [Give thousand eight hundred and , list]. before me [one of Her Majesty's Justices Signature of the officer or of the Peace in and for the said colony.] signature of trustees. Eegistered office : Date : day of , 18 Form No. 13.— Reg. 16. _ _ _,_ _ J Form No. 15.— Reg. 21. New Zealand. .. ~ New Zealand. " Friendly Societies Act, 1877." ■■ Friendly Societies Act, 1877." DIEECTION BY TIIE EEGISTRAE TO TEANSFEE NOTICE AND BEQUISITION. FUNDS, DEBENTURES, SECURITIES, OR MONEY. Dispvte between and [ an officer of] the Whereas it has been made to appear to me that _ society. [Describe nature of funds, debentures, securities, or moneys] is Register J\o. now standing in the names of and ,as trustees 1° of , a society registered under the above-mentioned Take notice that I shall proceed to hear the matter in dispute, Act. which has been referred to me pursuant to the said Act, on

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