LAND TITLES
ACCESS CANBERRA
Chief Minister, Treasury and Economic Development Directorate

APPLICATION FOR REMOVAL OF  NAME SUPPRESSION IN THE LAND TITLES REGISTER	
RNS - 013	

	Land Titles Act 1925	

IMPORTANT INFORMATION

This form is to be used to lodge an application for name suppression in the land titles register under the Land Titles Act 1925 (the Act).  You can access the Act at www.legislation.act.gov.au or information and forms at www.act.gov.au/accesscbr.
	
PRIVACY INFORMATION

The Act authorises the Registrar-General to collect the personal information required by this form for the purposes of issuing a registration under the Act.  The Registrar-General prevents any unreasonable intrusion into a person’s privacy in accordance with the Information Privacy Act 2014. The Registrar-General provides identifiable information to law enforcement and other Directorates that have legal authority to request information under prescribed circumstances.
These agencies may also use this information to prepare and sell property sales reports to commercial organisations concerned with the development, sale or marketing of land.
	
INSTRUCTIONS FOR COMPLETION

•	The certificate of title is not required for lodgement of this document.
•	There is no fee for lodgement of form
•	Only the Registered Proprietor can apply to have their application for name suppression removed.
•	Removal of the name suppression will result in details being made available to members of the public who search the Land Register by name.
•	One form of Primary and two forms of Secondary Identification is required for the Registered Proprietor.
•	Primary Identification - Birth Certificate, Passport or Citizenship Certificate
•	Secondary Identification – Driver’s Licence, Medicare Card, Pension Card, Tax File Number Declaration.
•	Identification supplied must be certified by the same person who witnesses your execution on the form.
•	NOTE: that one form of identification provided must be a government issued document containing a photograph and a signature.
•	All information should be typed or clearly printed.  If completing this form by hand please use a solid 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 black pen.  Substitute information must be clear and all parties must sign in the margin.  Do not use correction fluid or tape.
•	Ensure all required documents are attached.
•	Execution of your signature should be witnessed by an adult person who is not a party to the document and is authorised under the Statutory Declarations Act 1959. 
•	For information regarding the Statutory Declarations Act 1959 refer to the Attorney-General’s Department website www.ag.gov.au 
	
CONTACT AND LODGEMENT INFORMATION

Website:
www.accesscanberra.act.gov.au
General Enquiries: 
13 22 81

In Person:
Environment, Planning and Land Shopfront
Ground Floor South, Dame Pattie Menzies House, 16 Challis Street, Dickson
Opening hours - Monday to Friday 8:30am to 4:30pm (excluding public holidays)	

	LAND TITLES
ACCESS CANBERRA
Chief Minister, Treasury and Economic Development Directorate

APPLICATION FOR REMOVAL OF NAME SUPPRESSION IN THE LAND TITLES REGISTER	
RNS - 013	

	Land Titles Act 1925	

LODGING PARTY DETAILS	
Name	Email Address	Contact Telephone Number	
     	     	     	

TITLE AND LAND DETAILS	
Volume & Folio	District/Division	Section	Block	Unit	
     	     	     	     	     	

FULL NAME OF THE REGISTERED PROPRIETOR (Surname Last) 	POSTAL ADDRESS OF THE REGISTERED PROPRIETOR  	
     	     	

REASON FOR REMOVAL 	
     	

ACKNOWLEDGMENT 	
I hereby apply to the Registrar-General to remove the name suppression restriction relating to the above land.
I acknowledge that the removal of this restriction will result in my details being made available to members of the public who search the Land Register by name.	
EXECUTION (Witness must be authorised under the Statutory Declarations Act 1959)	

Print full name of registered proprietor

     

Signature of registered proprietor (sign in space below)

Dated -      	
Print full name of witness 

     

Qualification and address of witness
     

Signature of witness (sign in space below)

Dated -      	

OFFICE USE ONLY	
PRIMARY IDENTIFICATION – (Minimum of one form of primary evidence required. One form of identification provided must be a government issued document containing a photograph and a signature.)	
Birth Certificate	State/Territory      
Number      	Australian Citizenship Certificate	Number      	
Passport	Country       
Number      			
SECONDARY IDENTIFICATION – (Two forms of secondary evidence required)	
Drivers Licence	State/Territory      
Number      	Medicare Card 	Number      
Expiry Date      	
Pension Card	Number      	Tax File Number Declaration	     	

Lodged by	Manager/Assistant Manager	Registered by		
Data entered by		Registration Date