Schedule 1—Application under section 42(2) for authority to surrender library land to the Crown
Library Purposes Trusts Regulations 2020
APPLICATION UNDER SECTION 42(2) FOR AUTHORITY TO SURRENDER LIBRARY LAND TO THE CROWN
To the Minister
*I/We [ full name of applicant ]
of [ address ]
being the trustee/s of the library land described below and the council of the municipal district of [ name of district ] apply for authority to surrender the land to the Crown.
Description of land: [ describe land ]
The land—
(a) is library land and is no longer required for library purposes; and
(b) is not subject to any mortgage or charge; and
(c) *is not subject to any lease, tenancy or licence
*is subject to a lease, tenancy or licence [ include particulars ].
Dated
Signed
in the presence of
The seal of the council of the municipal district was affixed by
in the presence of
*Consent of lessee
I [ full name of lessee ]
of [ address ]
being the lessee of the land described above consent to this application to surrender the land to the Crown.
Dated
Signed
in the presence of
*Delete if inapplicable.