Form 1

SD
Form 087

Sheet No        of       Sheets

SURVEYOR’S DECLARATION

1. LAND
Vol:Fol	District/Division	Section	Block	Deposited Plan No		Unit Plan No	
     	     	     	     	     			

2. NAME OF MANAGER / OWNERS CORPORATION AND ADDRESS FOR SERVICE OF NOTICES
     		

3. SURVEYOR’S DECLARATION

I      

Of      

A surveyor registered under the Surveyors Act 2001, hereby certify that –

1.	The survey represented by the diagrams on forms 1A and 3 of this plan is accurate and has been made by me / under my immediate supervision (delete whichever is not applicable) and was completed on      

2.	The said survey is in accordance with the following Acts – 
(a)	Unit Titles Act 2001;
(b)	Land Titles (Unit Titles) Act 1970;
(c)	Land Titles Act 1925; and
Any regulations made under those Acts, and is in accordance with the Surveyors Practice Directions 2003.

CROSS OUT EITHER OF ITEM 3 OR 3(a)-3(c), WHICHEVER DOES NOT APPLY

3.	Each building (including any material attached to it) or building in the course of erection on the parcel is wholly within the parcel.

OR

3.(a), 3(b), 3(c)
(a)	all units and unit subsidiaries shown in the diagrams are wholly within the parcel;
(b)	the diagram clearly indicates the existence, nature and extent of any encroachment by a building (including any material attached to it), beyond the boundaries of the parcel; and
(c)	the diagrams clearly indicate the existence, nature and extent of any easement granted and registered, or to be granted and registered upon registration of this proposed plan, as an appurtenance to the parcel.

4.	Where an expression used in this form is defined in the Unit Titles Act 2001, that expression has the same meaning as in that Act.

Dated this      ………………….. day of       ………………………..20     

……………………………………………………………………..
Signature of Registered Surveyor	

4. APPROVAL UNDER UNIT TITLES ACT 2001
Approved under the Unit Titles Act 2001 as the Units Plan for the subdivision of the abovementioned parcel of land.

Dated this      ………………….. day of       ………………………..20     
……………………………………………………………..
Delegate of the Authority / Executive	

5. OFFICE USE ONLY
Lodged by	 	Registered by		
Examined by		Registration Date		
Data Entered by