Lodging Party

Box Number

FL
Form 043

Duty Only

INSTRUMENT GRANTING FURTHER LEASE

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

The ACT Planning Land Authority (the Authority), on behalf of the Commonwealth of Australia, in consideration of the surrender by the Lessee referred to in item 2, of the lease of the land in item 1, hereby grants to the Lessee, a further lease of that land for the term specified in item 5.

Except for the term, the further lease is subject to the provisions, convenants and conditions set out in the Units Plan in item 1 and also subject to those registered interests carried forward pursuant to S90A of the Land Titles Act 1925.	

1. LAND (In the case of unit titles, please list all unit and common property volume and folios)
Vol:Fol	District/Division	Section	Block	Unit	Units Plan No		
     	     	     	     	     	     		

2. LESSEE/S
Full Name (Surname last)
     	

3. LESSEE/S ADDRESS
Full Address
     	
	
4. FORM OF TENANCY
Joint Tenants   /   Tenants in Common            	

5. TERM OF FURTHER LEASE (Must commence on the day after the date of the surrender)
Term
     	Grant Date
     	Commencement Date
     	

6. EXECUTION
Signed by the lessee/owners corporation on its own behalf and on behalf of all lessees

Name of signatory

Signature of lessee/owners corporation		Full name of witness

Signed in my presence

Signature of witness                                                      	

	

Signed by the person duly authorised by the ACT Planning and Land Authority

Full name of signatory

Signature of the delegate of the ACT Planning and Land Authority		Full name of witness

Signed in my presence

Signature of witness                                                      	

7. DATE
     	

8. 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 application should be used to grant a further lease of land in respect of a Units Plan.
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.  
6.	Provide the full name of the lessee/s.
7.	Provide the full address of the lessee/s.
8.	Provide details regarding the form of tenancy.
9.	Provide details on the term of the further lease.
10.	Instrument Granting Further Lease, must be presented to ACT Revenue for duty stamping.
11.	Execution by the Owners Corporation and the Delegate of the ACT Planning and Land Authority.