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QUEENSLAND TITLES REGISTRY COVENANT FORM 31 Version 3
Land Title Act 1994 and Land Act 1994 Page 1 of 5
Dealing Number Lodger (Name, address, E-mail & phone number) Lodger
Code
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. Covenantor
2. Description of Covenant / Lot on Plan County Parish Title Reference
3. Covenantee
Noosa Shire Council
4. Description of Covenant (include reference to relevant section of legislation)
Pursuant to Section 97A(3)(b)(i) of the Land Title Act 1994
5. Execution
The Covenantor being the registered owner of the lot described in item 2 covenants with the Covenantee in respect of the covenant
described in item 4 and the attached schedule.
Witnessing officer must be aware of his/her obligations under section 162 of the Land Title Act 1994
.............................................................................. signature
.............................................................................. full name
.............................................................................. qualification / / .....................................................................
Witnessing Officer Execution Date Covenantor's Signature
(Witnessing officer must be in accordance with Schedule 1
of Land Title Act 1994 eg Legal Practitioner, JP, C Dec)
.............................................................................. signature
.............................................................................. full name
.............................................................................. qualification / / .....................................................................
Witnessing Officer Execution Date Covenantee's Signature
(Witnessing officer must be in accordance with Schedule 1
of Land Title Act 1994 eg Legal Practitioner, JP, C Dec)
Page 93 of 201
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