NS
Form 050

Lodging Party

Box Number

APPLICATION FOR NAME SUPPRESSION
IN THE LAND TITLES REGISTER

PRIVACY COLLECTION STATEMENT (PRIVACY ACT 1988 (C’WLTH)) OVERLEAF

The purpose of this application is to permit persons whose name appears as a registered proprietor of land in the Land Titles Register to request the Registrar-General to deny access to the register using that name as the searching key.	

Suppression of the name will not however prevent a person from accessing the register by using the parcel identifier of that land.   No Fee is payable for the lodgement of this application.	

1. LAND
Vol:Fol	District/Division	Section	Block	Unit	
     	     	     	     	     	

2. NAME OF APPLICANT (complete only if other than the registered proprietor)

     

3. FULL NAME OF THE REGISTERED PROPRIETOR (provide the name as it appears on the title in respect to which the suppression is sought)

     

4. DATE

     

5. EXECUTION
Signed by the applicant/applicants solicitor

Signature of applicant/applicants solicitor		Full name of witness

Signed in my presence

Signature of witness (Registrar-Generals Office Staff)	

6. OFFICE USE ONLY
Lodged by	 	Certificates Lodged		
Data Entered by		Attachments Lodged		
Examined by				
Registered by		Registration Date		

PRIVACY STATEMENT

S.43 of the Land Titles Act 1925 (LTA) authorises the Registrar-General to collect the information required by this form for the establishment and maintenance of the Land Titles Register.  S.65-67 LTA requires that the Register be made available to any person for search, upon payment of a fee. The information is regularly provided to various ACT Government agencies, including the ACT Department of Urban Services, ACT Planning and Land Authority (ACTPLA), ACT Treasury, Canberra Connect and ActewAGL for conveyancing, municipal account, administrative, statistical and valuation purposes.  ACTPLA and agencies within the ACT Department of Urban Services may also use the information supplied to prepare and sell property sales reports to commercial organisations concerned with the development, sale or marketing of land.  	
SCHEDULE OF NOTES
1.	This form is to be used to suppress a persons name on the Land Titles Register, with a view to protecting the applicant.
2.	Documents must be typed, or completed in black ink or biro.
3.	Alterations to information entered on the form should be made by crossing out (not erasing or obliterating by painting over) and should be initialled by the parties.
4.	If there is insufficient space in any panel use an annexure sheet.
5.	Volume and Folio references must be given.  Insert unit number if the land is land under the Land Titles (Unit Titles) Act 1970.  
6.	Provide full details of the applicant.
7.	Provide full names of the proprietor who is seeking to have their name suppressed.  The name must be provided as it would appear on the title.
8.	Execution by a natural person, or a solicitor may complete this form on behalf of their client.