1903. . III EDWARD VII- Cap. 17.

FORM (E)

Dominion of Canada, Province of Prince Edward Island, Queen's County, City of Charlottetown.

Before the Stipendiary Magistrate of the City of Charlottetown.

Whereas (appellant) has been taxed and assessed on (here describe real estate, personal property, income and poll tax appealed from or of only one or more than such thereof as are appealed from) in the sum of (here fill in gross amount of tax assessed against appellant) and has appealed from such assessment as appears by notice of appeal now on file. Now I do order and adjudge that the amount of said assessment be confirmed (or reduced to the sum of $ ) and (if on real estate “that judg- ment be entered against the above described premises for the sum of $ ), and (if on personal property and for Income and P011 Tax " that judgment be and is hereby entered against the said appellant in the sum of $ ) and

costs which said moneys in the whole amount to $ (suiting the above form to cases where only one or more of such taxes are appealed from), (or that the said appeal be allowed absolutely.)

Judgment signed this day of I9

Stipendiary ‘Magistrate.

Form E

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