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MCU11/0080 Development Application part 1 of 2 Application forms 14 Stevens St SUNSHINE BEACH
QUEENSLAND LAND REGISTRY TRANSFER Form 1 Version 5
Land Title Act 1994, Land Act 1994 and Water Act 2000 Page 1 of 1
r- P" Dealing Number
Client No: 1 0 .5 1 . 7 4 Duties Ad 2001
OFFICE USE ONLY Transaction No: SO , T _ 3 _ 0* 0
Privacy Statement Duty Paid $ .!^. /^ •. SD... 0 Exempt
Collection of this Information Is authorised by the Land Title Act 1994 the
Land Act 1994 and the WatX W 2000 and Is used to maintain the publicly UTi$ .................................
searchable registers in the land registry and the water register. For more
information about privacy In NR&W see Date: / / Si4ned:^..f.L.eL^11CL.
http //www.nrw.gld.gov.au/about/pdvacyAndexhtml.
1. Interest being transferred of shares show as a fraction) Lodger (Name, address & phone number) Lodger
Code
FEE SIMPLE
Note: A Form 24 - Property Information (Transfer) must be attached to this Form
where Interest being transferred Is 'fee simple" (Land Title Act 1994), 'Slate
leasehold' (Land Act 1994) or 'Water Allocation' (Water Act 2000)
2. Lot on Plan Description County Parish Title Reference
LOT 693 ON RP 48111 MARCH WEYBA 13892047
3. Transferor
PATRICK JAMES PURCELL
4. Consideration
$1,075,000.00
5. Transferee Given names Sumame/Company name and number (include tenancy if more than one)
DAVID MATTHEW TONURI
6. Transfer/Execution The Transferor transfers to the Transferee the estate and interest described in item 1 for the
consideration and in the case of monetary consideration acknowledges receipt thereof. The Transferor declares that the
information contained in items 3 to 6 on the attached Form 24 is true and correct. The Transferee states the information
contained in items 1, 2, 4 to 6 on the attached Form 24 is true and correct. Where a solicitor signs on behalf of the
Transferee the information in items 1, 2, 4 to 6 on Form 24 is based on information supplied by the Transferee.
NOTE: Witnessing officer must be aware of their obligations under sectionl 62 of the Land Title Act 1994.
Separate executions are required for each transferor and transferee. Signatories are to provide to the
witness, evidence that they are the person entitled to sign the Instrument (including proof of identity).
-riP/vvy cte
................................ rn..........
27.....1?`G; -77 .... ..... 3o jo3/d0 If
Witnessing Officer (signature, full name & qualification) Execution Date Transferor's Signature
PATRICK JAMES PURCELL by his duly
appointed Attorney CHRISTOPHER PATRICK
DORE under Power of Attorney No. 709926599
who declares as at the execution of the Form 1
Transfer In this transaction he had not received
any notification of revocation of the registered
Power of Attorney No. 709926599 granted by
PATRICK JAMES PURCELL dated 28" April,
2006.
1(1 j0ll *
Witnessing Officer (signature, full name & qualification) Execution Date Transferee's ot'`Sadlicitor'4'Signature
(Witnessing officer must be in accordance with Schedule I 'Note: A Solicitor Is required to print full name if signing on behalf
of the Land Title Act 1994 eg Legal Practitioner, JP. C Dec) of the Transferee and no witness Is required In this instance
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