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RFI - Updated signed Form 10 Easement Surrender - 25 Pavilion St Pomona - 17.09.2021(23701439.1)
QUEENSLAND TITLES REGISTRY Land Title Act 1994 and Land Act 1994 Dealing Number ULNAR]. OFFICE USE ONLY Privacy Statement Collection of information from this form is authorised by legislation and is used to maintain publicly searchable records. For more information see the Department's website. 1. Dealing number of easement being surrendered 720738245 2. Description of Easement/Lot on Plan Servient Tenement (burdened land} EASEMENT C IN LOT 21 ON SP316902 *Dominant Tenement (benefited land) * not applicable if easement in gross LOT 20 ON SP316902 3. Grantor PEFER-FRAMS-AND-GERALDINE FRANCES — FRAVIS— INE DEVELOPMENTS PTY LID 5. SurrenderiExecution 40M 644 $53 99q Full Surrender SURRENDER OF EASEMENT FORM 10 version 4 Page 1 of 4 5 Duty Imprint Lodger (Name, address, E-mail & phone number) Lodger HopgoodGanim Lawyers Code Level 8, Waterfront Place, 1 Eagle Street, BE187A Brisbane, Qld, 4000 Telephone: 07 3024 0000 Email: [email protected] Title Reference 51250344 51250343 Grantee PETER TRAVIS AND GERALDINE FRANCES TRAVIS The Grantee surrenders the easement in item 1 so that the easement is extinguished. Witnessing officer must be aware of his/her obligations under section 162 of the Land Title Act 1994 signature full name CEC REG. NG. (0 7MOS bese qualification Witnessing Officer (Witnessing officer must be in accordance with Schedule 1 of Land Title Act 1994 eg Legal Practitioner, JP, C Dec) cecueeeeeacereseesceeceeeeveesaeeesciseecevseeeetevseeneterereeseevenereeaes signature LES UE AD a4 5 mye cecseusesansseessenerseni ds Grass dactsaponti Ni eiieviyistiniiisntannnsnne fullname CADE L aE ALg_f2 TLCS fe gs sev enneedeteeeesensennes TT ectisccectsseeetetsstansesertisevsestetsteneres QUGHMOGUON Witnessing Officer (Witnessing officer must be in accordance with Schedule 1 of Land Title Act 1994 e titioner, JP, C Dec) seve Signature setae full name eee cece ee cetseeeeetetaseeeed qualification Witnessing Officer (Witnessing officer must be in accordance with Schedule 4 of Land Title Act 1994 eg Legal Practitioner, JP, C Dec) 23115058v1 Execution Date Execution Date Execution Date . oe 6 h12i Grantor’s Signature 13 07,21 Grantor's Signature
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