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TASMANIAN LAND TITLES OFFICE

Application to Revert to
Maiden Name
Section 160(4) Land Titles Act 1980.
DESCRIPTION OF LAND
Folio of the Register
Folio
Volume

Volume
<<Buy|Enquiry
Information|FromExisting|Vol
ume>>

Folio

<<Buy|Enquiry
Information|FromE
xisting|Folio>>

TO THE RECORDER OF TITLES


Changes|newName>>
I <<Buy|Name
........................................................................................................................................................................

of ....................................................................................................................................................................
<<Buy|Client|Physical Address>>
being registered in my former name of
<<Buy|Name Changes|oldName>>
.......................................................................................................................................................................

as proprietor of an estate in fee simple in the land comprised in the above folio(s) of the Register and having
renounced and abandoned my former name and reverted to my maiden name:
<<Buy|Name Changes|newName>>
.......................................................................................................................................................................

hereby apply to have this change of name noted on the above folio(s) of the Register
Date: ............................................
Signed by the Applicant
Signed: .........................................

Witness: .........................................
.........................................
.........................................
.........................................
(signature, name, occupation & full postal address)

Land Titles Office Use Only

RN

Version 1 (TOLD)
THE B ACK OF THIS FORM MUS T NOT B E US ED
Created 30-Dec-2006 06:57PM

TASMANIAN LAND TITLES OFFICE


NOTICE OF SALE FORM
Land Titles Act 1980
Land Tax Act 2000
Land Valuation Act 1971
Local Government Act 1993
Taxation Administration Act 1997
Full Address of Transferee/Purchaser
(For the purposes of Future Notices)

Property Name: .............................


Unit No., House No. & Street/Road Name:
.............................................................
Town/City: .............................
State: TASMANIA Postcode: ...........

Land Titles Office dealings which must accompany this form


include:
T - T ransfer
TPS - Transfer Under Power of Sale
and any other dealing or instrument which changes the registered
proprietor of land.

Barcode Number (if known)


of accompanying dealing:

.............................................................
Folio of the Register Reference:
(First reference stated on accompanying dealing)

Vol.<<Buy|Enquiry
............................. Fol. <<Buy|Enquiry
...........
Information|FromE
xisting|Volume>>

Full Address of

Information|Fro
mExisting|Folio
Transferor/Vendor
>>

(For the purposes of Future Notices)


(Only if other properties still owned by vendor)

Property Name: .............................


Unit No., House No. & Street/Road Name:
.............................................................
Town/City: .............................
State: TASMANIA Postcode: ...........

Company ACN (if applicable)


<<Buy|Client |CompanysACN>>
.............................................................

Is the Transferee/Purchaser holding this


property in Trust?
YES
NO

Particulars of Sale
Chattels: $............................
Goodwill: $............................

(Please Indicate by X whichever box is appropriate.)

Land Purchased/Acquired is
Whole
Part

<<Buy|Settlement|Dat

Date of Contract/Agreement: ........................


eOfExchange>>
<<Buy|Settlement|Date
Date of Settlement/Completion: ........................
OfSettlement>>

(Please Indicate by X whichever box is appropriate.)

of that identified in the Property ID No. listed below.

Will this Property be the Principal Place of Residence of the Transferee/Purchaser?

YES

NO

(Please Indicate by X whichever box is appropriate.)

By selecting YES to this question, you are stating that this property is to be used by the transferee/purchaser as their principal place of residence as at 1st July
following settlement. This means that the property will not be subject to land tax. By selecting NO to this question, you are stating that this property is not to be used
by the transferee/purchaser as their principal place of residence and therefore may be subject to land tax. Note: The owner must notify the Commissioner of State
Revenue in writing within 30 days of the property ceasing to be used as their principal place of residence.

Details of Property Being Purchased


Property ID No.
(as shown on Valuation Notice)

.............................................................
Dimensions/Area
.............................................................

Property Name/Unit No.


.............................................................
Street/Road (No. & Name)
.............................................................
City/Town or Municipal Area
.............................................................

It is hereby declared that the information contained herein is true and correct.
Name & Signature of Person giving Notice:

.............................................................
.............................................................