1Claim for payment on account of betterment from the formation or widening of a road or service lane Empowered by s 326(3)

To: [name], owner of an estate or interest in fee simple [or as the case may be] in the land described below.

Whereas the [name of council] has formed or widened [describe road or service lane] in the district whereby the value of the land described below which fronts the said road (or service lane) and in which you are interested as aforesaid, has been increased.

This is to give you notice that the council claims from you the sum of $[amount] on account of betterment for the said increase in value of the said land.

[Description of land]

Given under my hand: [date]

Principal Administrative Officer

2Charge Empowered by s 326(5)(b)

Pursuant to section 326(5)(b) of the Local Government Act 1974, I, the undersigned [name], hereby charge my estate or interest as [describe the estate or interest] in [describe land] with the payment to the [name of council] of [number] equal half-yearly payments of $[amount], each payable on the [specify] day of the months of [months] in each year, the first payment to be made on [date], the charge to be a first charge upon my said estate and interest in priority to all estates, encumbrances, and interests created by me or any of my predecessors in title, as provided by the said Act; and I, the said [name], hereby covenant with the said council to pay to the council the said several instalments on the respective dates aforesaid.

Given under my hand: [date]