I  do  hereby  declare  that

the  following  persons*
have  continuously  resided  on  the  above  selection  from  the

to  the
and  that  the  following  improvements  have  been  effected  on
the  said  selection  during  the  said  period.
Dwelling  house  erected  t

Number  of  acres  cultivated,  etc.  etc.  etc.
Cereals  or  Root
Crops.
Orchard.
Vine-     Nursery  or
yard.      Shrubbery.
n

Land  laid

down  with

artfcl. grasses

Fencing.
Nature
of  Crop.
c-o

g-o
0^

-Si

g-o

•S-a

g-d

-a

JJ  o
(U

II

acs.
acs.
acs.
acs.
acs.
acs.
acs.
acs.
acs.
acrs.
acrs.
Total  value  of  improvements,    £
Dated  this  day  of


Witness  to  signature.
Sisrnature  of  Selector.
Note. — If  any  person  holding  land  as  aforesaid  shall  cease  to  be
in  bona-fide  occupation  of  the  same,  or  fail  to  effect  thereon  the
improvement  required  by  the  Act,  or  forward  wilfully  inaccurate
returns,  or  commit  any  breach  of  these  regulations,  such  person
shall  be  liable,  in  addition  to  forfeiture  of  selection,  to  a  penaUy  not
exceeding  p^20  for  every  such  breach,  default,  or  failure,  and  all
penalties  incurred  hereunder  shall  be  recoverable  in  manner  provided
by  the  said  Act.
"  Here  state  in  full  the  names  of  the  persons  on  whose  account  the  selection
has  been  made.
t  State  dimensions  of  house,  materials  of  which  constructed,  and  value.
Morhs  f  ubibbfi)  b\r
HODDER  &  STOUGHTON,

27,    Paternoster    'Ro^Ar,    E.G.
Third  Thousand.      Ci'ojvn  %vo,  2s.  6d,

THE    DIFFICULTIES    OF    THE    SOUL.
By  Rrj.    W.  HAY  M.  H.  AITKEN,  M.A.,
Late  Incumbent  of  Christ  Church,  Everton,  Liverpool.
"  Deeply  reverent  earnestness  and  practical  cotnmon  sense,  with  singularly
wide  experience,  are  the  chief  notes  of  this  ably-written  treatise." — Clnirch-
inan.
"We  unhesitatingly  commend  the  book  alike  to  seekers  and  soul  winners."
— Christian.
