CHANGES form signed · 132005.699.10

715941567 VO REGISTERED Recorded Date 07/08/2014 15:32 Page 1 of 3

QUEENSLAND LAND REGISTRY REQUEST TO REGISTER POWER OF ATTORNEY/ FORM 16 Version 4
Land Title Act 1994 and Land Act 1994 REVOCATION OF POWER OF ATTORNEY Page 1 of 1

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NR 804 Ref: FLA:TJM:100968

 

1. Principal (Donor) Given names Surname/Company name and number
CBD SETTLERS COVE PTY LTD ACN 114 192 773

+and-as-Trustee/Responsible-Entity-for
+jointly-and/or-severally
“delete if not applicable

 

2, Attorney (Donee) Given names Surname/Company name and number
SHANNON WADE GILLARD
*ointly-and/or-severally

* delete if not applicable

 

3. Request

It is requested that you register:

“Power of Attorney produced with this request

*Power-of Attorney Glause-ne—in Dealing ne;
*PRewer-of-AttorneyGlause-no—in-Document- dated rcp produeed-with-this-request
*Rower-of-Atemey Pursuantto-Se Ctl OA rrr Tree (haMe-oHegisiation)
*the-attached-Revosation-of Rower of Attorney Dealing-no—

“delete If not applicable

4, Execution

 

Ti 14
Execution Date Applicant’ 6-oF-Solicitor's Signature
Fiona Louise Allen, Solicitor

Note: A Solicitor Is required to print fu name if signing on behalf of the Applicant

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s:\documents\100968\tjm_100968_032,doc

€ The State of Queensland (Dept of Natural Resources and Mines) 2014

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