Lodging Party

Box Number

ADP
Form 054

 Form 002

APPLICATION TO REGISTER A DEPOSITED PLAN

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

I hereby apply for the registration of the attached plan.	

1. X - PLAN NUMBER                                                                               2. DEPOSITED PLAN NUMBER
     		     	

3. AMENDED PLANS (List the DP or X Plan numbers amended by this plan.  Please indicate whether DP or X Plan)
Plan No
     	X Plan or Deposited Plan
     	Plan No
     	X Plan or Deposited Plan
     	

3.PARCEL(S) AFFECTED BY THE AMENDMENT(S)
DP or 
X Plan No	District/Division	Section	Block	DP or 
X Plan No	District/Division	Section	Block	
     	     	     	     	     	     	     	     	
     	     	     	     	     	     	     	     	
     	     	     	     	     	     	     	     	

4. PARCELS ON NEW PLAN
District/Division	Section	Block	To Block	
     	     	     	     	
     	     	     	     	
     	     	     	     	
     	     	     	     	

6. DATE

7. OFFICE USE ONLY
Lodged by	 			
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 apply to register a Deposited 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.	Provide the X Plan Number.  A space is left to provide the new DP number after registration.
6.	Provide details of the plans being amended.
7.	Provide details of the parcels to be amended.
8.	Provide details of the parcels on the new plan.