OFFICE USE ONLY
Collection of this information is authorised by the Land Title Act 1994
the Land Act 1994 and the Water Act 2000 and is used to maintain the
publicly searchable registers in the land registry and the water
register. For more information about privacy in NR&W see the
QUEENSLAND LAND REGISTRY
SURRENDER OF FREEHOLD LEASE
Land Title Act 1994, Land Act 1994 and Water Act 2000
Dealing number of instrument being
Lodger (Name, address & phone number)
Level 17, 175 Eagle Street
Brisbane QLD 4000
Lot on Plan
Lot 108 on CP SL 7249 Stanley
Mulitplex Carole Park Landowner Pty Limited ABN 15 784 033 895
James Hardie Australia Pty Limited ACN 084 635 558
a) Surrender of Freehold Lease/Sublease
* Full Surrender The lease/sublease in item 1 is surrendered from 19
* Partial Surrender The lease/sublease in item 1 is surrendered
from / / .
*so far as relates to the land in item 2.
*so far as relates to part of the leased area.
b) Surrender of Land Act Sublease
*I surrender all my right title and interest in the sublease in item 1 as
from / / .
* delete if not applicable
Witnessing officer must be aware