A5 Variation of Order of Priority

Download as pdf or txt
Download as pdf or txt
You are on page 1of 4

Fo rm A5

APPLICATION FOR THE VARIATION


OF ORDER OF PRIORITY

M O R T G A G E O R E N C U M B R A N C E L O S I N G P R I O RI T Y

C E R TIFI C A TE (S ) O F TI T LE A F FE C TE D

<<Sell|Forms|Title Reference/Folio Identifier>>

M O R T G A G O R / E N C U M B R A N C E R (F u ll n a m e a n d a d d re s s)

A P P LI C A N T - M O R T G A G E E / E N C U M B R A N C E E (F u ll n a m e a n d a d d re ss )

MO RT G A G E /E NCU MB RA NCE No.


IS P O S TP O NE D IN ITS E NT IRE TY
SO T HA T T HE UNDE RME NTIO NE D MO RT G A G E /S E NCU MB RA N CE/S S HA LL B E E NT IT LE D IN
P RIO RITY T HE O NE OV E R T HE O T HE R AS IF T HE Y HA D BE E N RE GIS T E RE D IN T HE
F O LLO W ING O RDE R

D ELET E

1.

MO RT G A G E /E NCU MB RA NCE NO.

2.

MO RT G A G E /E NCU MB RA NCE NO.

3.

MO RT G A G E /E NCU MB RA NCE NO.

4.

MO RT G A G E /E NCU MB RA NCE NO.

THE
IN A P P L I C A B L E

G uidan ce Note s a vailable

P a g e of

C ON SEN T M OR TGA G OR / EN C U M BR A N C ER

C O N S E N T S O F P A R TI E S H O L D I N G I N T E R V E N I N G I N T E R E S T S

P a g e of

DA T E D . ..... ...... ..... ..... ...... ..... ..... ...... ..... ..... ...... ..... .
E X E C U TI O N

.........................................................................................................
S ig n a t u re of t h e * M O R T G A G E E / E N C U M B R A N C E E

.........................................................................................................
Signature of WITNESS Signed in my presence by the
MORTGAGE E / ENCUMBRANCEE who is either personally
known to me or has satisf ied me as to his or her identity. **

.........................................................................................................
P rint F u ll N a m e of W it n e ss (B L O C K L E T T E R S )
.........................................................................................................
.........................................................................................................
A d d re ss of W it n es s
B u s in es s H o u rs T e le p h o n e N o. ........................................................

.........................................................................................................
S ig n a t u re of t h e * M O R T G A G E E / E N C U M B R A N C E E

.........................................................................................................
Signature of WITNESS Signed in my presence by the
MORTGAGE E / ENCUMBRANCEE who is either personally
known to me or has satisf ied me as to his or her identity. **

.........................................................................................................
P rint F u ll N a m e of W it n e ss (B L O C K L E T T E R S )
.........................................................................................................
.........................................................................................................
A d d re ss of W it n es s
B u s in es s H o u rs T e le p h o n e N o. ........................................................

* D el et e t h e in a p p l ic a bl e

* * NB : A p e nal ty of up to $200 0 o r 6 m onth s im p ri sonmen t a pplie s f o r imp ro pe r wit ne ssi n g

LAN DS TITLES REGISTRATION


OFFICE
S O UT H A U ST R A LIA

APPLICATION FOR THE VARIATION OF


ORDER OF PRIORITY
Prefix

F OR M A P P R O V E D B Y T H E R E G IST R A R-G E N E R A L

AV

B E L O W T H IS L I N E F O R O F F I C E &
ST A M P D UT Y P U R P O S E S O NL Y

Series No.

B E L O W T H IS L IN E F O R A G E N T U S E O N L Y
C ER TIFI E D C O R R E CT F O R TH E P U R P O S E S
O F T H E R E A L P R O P E R T Y AC T 18 8 6

S olicit o r/R e gist e red C o nv ey a nc e r/ A pp lic a nt

A G E NT C O D E

Lodged by:
Correction to :

TIT L E S, C R O W N L E A S E S, D EC L A R ATI O N S E TC. L O D G E D W ITH


IN ST RU M E NT (T O B E FI L L ED IN B Y P E R S O N L O D GI N G )
1. ...............................................................................................................
2. ...............................................................................................................
3. ...............................................................................................................
4 ................................................................................................................

P L E A S E I S S U E N E W C E RTIFI C AT E (S ) OF TIT L E A S F O L L O W S
1. ...............................................................................................................
2. ...............................................................................................................
3 ................................................................................................................
4 ................................................................................................................

D E L IV E R Y IN S T R U C T I ON S (A g e nt to c om p let e )
P L E A S E D E LI V ER TH E F O L L O WIN G IT E M(S ) T O T H E
UN D E RM E N TI ON E D A G E NT (S )

ITEM(S )

CO RRE CT IO N

PAS SE D

AGENT CODE

RE G IS TE RE D

RE G IS T RA R- GE NE RA L
R- G 25050 5

You might also like