Development Application Part 1 of 2 Application Form MCU12/0047

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  <     UEENSL.ND LAND REGISTRY                                   .
                                                                                                                 TRANSFER                                                         FORM 1 Version 5
      Land Title A~{1994, Land Act 1994 a~d Water Act 2000
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                                                         Dealing Number
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      1111111111111111 OFFICE USE ONLY                                                                                            Client No: ~6                  Duties Act 2001
      Privacy Statement                                                                                                           Transaction No: Sb 4-~<?a 78-;S’
      Collection of this Information Is aulhorlsed by the Land Title Act 1994 the
                                                                                                                                  Duty Paid $~ ~ 7..50               0Exempt
      !Jmd Act 1994 and the Water Act 2000 and Is used to maintain the publicly
      searchable registers In the land registry and the water register. For more                                                  UTI $     -
                                                                                                                                                                 ~   _
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      Information about privacy In DERM see the department’s webslte.                                                             Date:-:uo 1~/14-...~


      1.               Interest being transferred (If shares show as a fraction)                                              Lodger (Name,address, E-mail & phone number) Lodger
                                                                                                                                                                                           Code
                       Fee Simple

      Note: A Form 24 Property Iriformation rrransfer) mllst be attached to this Form
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      where Interest being transferred Is "fee simple" (Land Title Act 1994), .State
      leasehold" (LandAct1994).or’WaterAllocation" (WaterAct 2000)

      2.               Lot on Plan Description                                          County                                Parish                                     Title Reference
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                       Lot 1 BUP 2550                                                   March                                 Weyba                                      15735214

      3.            Transferor
                    HG.S. Pty Ltd ACN 010643464 trustee under Instrument 700122872
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      4.            Consideration
                    $1,430,000.00
      5.            Transferee                  Given names                                      SurnamelCompany name and number                               (Include tenancy If more than one)
                                                                                                  Jacaranda No 12 Pty Ltd ACN 154885702 as
                                                                                                 trustee
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      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 nd 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 th Transferee.

      NOTE: Witnessing officer must be aware of their obligations under section 162 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).




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      Witnessing Officer (signature,full name & quallflcatlon)                                                          Execution Date                                     Transferor’s Signature




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      Witnessing Officer (signature,full name & qualification)                                                          execution Date                                     Transferor’s Signature




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      Witnessing Officer (signature,full name & qualification)                                                          Execution Date              "Transferee’s or Solicitor’s Slgn ture
                                                                                                                                                .’SPl-t,i fARIIS FlaRe lelilee Allen, Solicitor



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      Witnessing Officer (signature,full name & qualification)                                                          Execution Date                *Transferee’s or Solicitor’s Signature

      (Witnessing officer must be In accordance with Schedule 1                                                                 "Note:A Solicitor is required to print full name If 8lgning.on behalf
      of the Land Title Act 1994 eg Legal Practitioner, JP, C Dee)                                                                   of the Transferee and no witness is required In this instance




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