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717273477 V1 REGISTERED Registration Date 22/06/2016 12:11 Page 1 of 10

QUEENSLAND TITLES REGISTRY
Land Title Act 1994, Land Act 1994 and Water Act 2000

NR 460

GENERAL REQUEST

717273477

$169.00

eo. 00
26/05/2016 09:06

FORM 14 version 4
Page 1 of 1

7

Duty Imprint

 

1. Nature of request
REQUEST TO RECORD FIRST COMMUNITY

MANAGEMENT STATEMENT FOR MARTIN PLACE

AT PEREGIAN COMMUNITY TITLES SCHEME

2. Lot on Plan Description
LOT 73 ON CP P9313

Lodger (Name, address, E-mail & phone number)
LYN, WJ/LOM AN
Po Box $7 PEREG LIN BEACH
Ovo 4573 .
ign @ 4h egienbeach . tom. av
O4lI7OfF aT -

Lodger
Code

Title Reference
13530193

 

3. Registered Proprietor/State Lessee

LYNETTE MARILYN WILDMAN AND NARELLE EMILY GATES AS TRUSTEE UNDER INSTRUMENT 708105883

 

 

4. Interest
NOT APPLICABLE
5. Applicant

LYNETTE MARILYN WILDMAN AND NARELLE EMILY GATES

AS TRUSTEE UNDER INSTRUMENT 708105883

 

6. Request

| hereby request that the first CMS deposited herewith be recorded as the CMS for Martin Place at Peregian Community
Titles Scheme and that McCormick Lawyers Suite 13, 1 Lanyana Way Noosa Heads Queensland 4567 be recorded as
the address for service of the body corporate for the scheme.

 

7. Execution by applicant

L

© The State of Queensland {Natural Resources, Mines and Energy} 2021

BG homme

Lynette Marilyn Wildman

Mela.

1415 16
“Kiarelle E Gates

Execution Date

  

Note: A Solicitor is required to print full name if signing on behalf of the Applicant
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