APPLICATION TO REGISTER A DEED
Registration of Deeds Act 1957	

Form 109 - REGD	

	

IMPORTANT INFORMATION ABOUT DEEDS
This form may be used to apply to the Registrar-General to register a deed. A deed includes any document whether under seal or not, other than a will, or an instrument that is in accordance with the Land Titles Act 1925 and purports to transfer or otherwise deal with or affect an estate or interest in land under the provisions of that Act, or a document that purports to change a person’s name.
The Registrar-General may register a deed if it is accompanied by a copy of that deed, a statutory declaration stating that the copy is a true copy of the original deed and if endorsed on it, or attached to it, a statutory declaration made by a party to the deed verifying the due execution of the deed. The Registrar-General may refuse to accept a deed, or the copy, for registration if it is not legibly written or on paper of a size or quality not approved by the Registrar-General. 
	
PRIVACY INFORMATION
The Registration of Deeds Act 1957 authorises the Registrar-General to collect the information required by this form.  The Registrar-General prevents any unreasonable intrusion into a person’s privacy in accordance with the Information Privacy Act 2014. The register of deeds and instruments may be accessed by members the public upon application and payment of the appropriate fee.
	
INSTRUCTIONS FOR COMPLETION
•	If completing this form by hand please use a blue or black pen only.
•	This office will not accept lodgement of this form if it is not completed in full.
•	Any alteration to information provided on this form must be struck through with a blue or black pen and substitute information must be clear and all parties must sign in the margin.  Do not use white out.
•	A person cannot be a witness to a power of attorney if the person is signing the power of attorney as the principal or a person appointed as attorney under the power of attorney.  A person cannot be a witness if they are a child. 
•	Only one of the witnesses to the power of attorney can be a relative of the principal or a person appointed as attorney under the power of attorney.
•	The provisions for witnessing do not apply to corporations who execute a Power of Attorney.
•	The Statutory Declaration attached to this form must be completed for all lodgements.
	
TRANSLATING AND INTERPRETING SERVICE
If you require further information or require advice, a language assistance service is available by phoning the Translating and Interpreting Service (TIS) on 13 14 50.	
LODGEMENT AND CONTACT INFORMATION
Email:
actlandtitles@act.gov.au

Post:
Access Canberra
Land Titles
GPO Box 158
Canberra, ACT 2601	
In Person:
Please visit www.act.gov.au/accessCBR
Or call 132281 to find an 
Access Canberra Shopfront.	

	
APPLICATION TO REGISTER A DEED
Registration of Deeds Act 1957	

LODGING PARTY DETAILS	
Name	Postal Address	
		
Contact Number 	Email Address	

TYPE OF DEED (Please tick one of the following boxes)	

    Miscellaneous Deed

    Trust Deed

    Power of Attorney

    Other (Please specify) - .....................................................................................................................................

POWERS OF ATTORNEY CHECK LIST – (FOR COMPANIES)	
    The Power of Attorney has been executed in accordance with Section 127 of the Corporations Act 2001

    Does this Power of Attorney revoke another existing registered Power of Attorney?  If “Yes” please complete a
         Revocation of Power of Attorney Form	

POWERS OF ATTORNEY CHECK LIST – (FOR INDIVIDUALS)	

    The Power of Attorney has been signed and dated by two adult witnesses in the presence of the principal and each
          other.  An Enduring Power of Attorney requires one of the witnesses to be qualified under the Statutory Declarations
          Act 1959

    The Power of Attorney contains a certificate by each witness stating:

                         - The principal signed the power of attorney voluntarily in the presence of the witness; and

                         - At the time the principal signed the power of attorney, the principal appeared to the witness to
                           understand the nature and effect of making the power of attorney. 

    Does this Power of Attorney revoke another existing registered Power of Attorney?  If “Yes” please complete a
          Revocation of Power of Attorney Form

PARTY 1 INFORMATION (For example: persons or organisations giving power of attorney, the donor or mortgagor)	
Surname/Organisation Name	Given Name(s) (If not an organisation)	

		

PARTY 2 INFORMATION (For example: persons or organisations receiving power of attorney, the donee or mortgagee)	
Surname/Organisation Name	Given Name(s) (If not an organisation)	

		

STATUTORY DECLARATION 	
I, (full name)	being a (occupation) 	
of (address)	
make the following declaration under the Statutory Declarations Act 1959:

•	The deed contained on the following……………………  page/s has been compared by me with the original deed and is a true copy thereof. 

I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959, and I believe that the statements in this declaration are true in every particular.	
Signed (applicant’s  signature)	Declared at (place) 	on (date) 	
Before me, (signature of witness)	Full Name of Witness	
Qualification of Witness (must be qualified witness under the Statutory Declarations Act 1959)

Address of Witness

OFFICE USE ONLY	
Lodged by		Annexures / Attachments		
Registered by		Registration Date