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SCHEDULE. Form A. (Section 3.) Application. To the Secretary, Farm Loan Board, — 1. We the undersigned farmers or persons engaged in or agreeing to engage in farming operations within one year from the date hereof upon the lands described and set opposite each name herein, are desirous of organizing a co-operative rural intermediate-credit association for the purposes and with the powers conferred by the State Advances Act Amendment Act, 1926. 2. The names of the applicants, their respective addresses and occupations, and the description of the lands owned or occupied by each, or intended to be used for the purposes of the said Act, the amount agreed to be subscribed by each, and the amount paid in cash on account of each subscription, are as hereinbelow set forth : — 3. The location of the chief place of business of the proposed association is 4. The name of the proposed association is " The Co-operative Rural Intermediate Credit Association." 5. The amount of the capital stock of the proposed association is £ , divided into shares of £1 each. 6. The names of four of the subscribers who are hereby nominated as provisional directors are : 7. The name of a person who is hereby nominated as acting secretary-treasurer of the proposed association until the organization has been completed is Bated at , this day of ,19 Statutory Declaration. New Zealand. In the matter of The Co-operative Rural Intermediate-credit Association and the State Advances Act Amendment Act, 1926. I, , of , farmer, do solemnty declare as follows : — 1. That lam one of the signatories to the application hereto. 2. That the signatures of the said applicants are genuine, and that the matters, facts, and statements set out in said application are correct and true. Declared before me at , this day of , 19 Justice of the Peace, &c. Form B. (Section 7.) Certificate of Registration. The Co-operative Rural Intermediate-credit Association, having filed a duly signed application, is registered under the State Advances Act 1913 Amendment Act, 1926, this day of , 19 [stamp of registrar.] Form C. (Section 21.) The Co-operative, Rural Intermediate-credit Association. Application for Loan. [I, , of Section , Block , Survey District of , hereby apply to the Co-operative Rural Intermediate-credit Association for a loan of £ , under the terms of the State Advances Act 1913 Amendment Act, 1926, and request that such loan be advanced in approximately the following amounts, to be used for the following purposes : — For the purchase of cattle : £ For the purchase of machinery : £ For expenses of putting in and taking off crop : £ For : £ Total: £ And I hereby agree to repay the said loan On * with interest at the rate of per cent, per annum from the dates the same or parts thereof are received to date of payment. Dated at , this day of ,19 [Signature.] * This date must not be later than the 31st March following the date of tile application. Form D. (Section 23.) Approval. The Co-operative Rural Intermediate-credit Association hereby approves of the foregoing application, and guarantees payment of said loan. Passed by the directors this day of , 19 , President. Secretary-Treasurer. Form E. (Section 30.) Lien. I, , of , Section , Block , Survey District of , farmer, having obtained a loan of £ , through the Co-operative Rural Intermediate-credit Association, for the purpose of the purchase of [Here fill in purpose for which loan was obtained], hereby declare that I have purchased and paid for with the proceeds of said loan the following [Here fill in detailed description of cattle or other chattels purchased and amount paid for each] and the said [cattle or other chattels, as the case may be] have been paid for in full [or as the case may be] and are now on my premises, being Section , Block , Survey District. And I do hereby agree that, until repayment of the said loan and payment of the interest thereon and costs of collection, if any, the said amount shall be and remain a lien and charge upon the said chattels and each of them and upon the increase thereof. Signed at , this day of , 19 [Witness.] [Signature of Borrower.]