| Land registration district | BARCODE | |||
Applicant | Surname must be underlined. |
| Application |
The applicant applies to the Registrar to remove the easement(s) and/or profit(s) à prendre scheduled below by making an entry on the register that the easement(s) and/or profit(s) à prendre is/are determined, extinguished, or redundant on the grounds set out in the statutory declaration in Annexure Schedule 1. |
Schedule of easements and profit(s) à prendre | Continue in additional Annexure Schedule if required. |
| Purpose (nature and extent) | Shown/document number | Servient tenement (Identifier/CT) | Dominant tenement (Identifier/CT or in gross) |
Addresses for service of parties on whom notice to be served Continue in additional Annexure Schedule if required. Include all persons entitled to any interest under the easement(s) or profit(s) à prendre, including mortgages. |
| Full name | Full postal address | ||
Certified correct for the purposes of the Land Transfer Act 1952. |
| [Solicitor for] the Applicant |
Application for removal of easements and profits à prendre | Dated | Page 2 of pages |
| Statutory declaration |
| Delete words in [ ] as required. |
I solemnly and sincerely declare that: | ||||
| 1 | I am the [owner of the [dominant] [servient] tenement(s)] [grantee in gross] referred to in the attached application. | |||
| 2 | The [easement(s)] [profit(s) à prendre] referred to in the Schedule of easements and profits à prendre in the application [is] [are] determined, extinguished, or redundant due to the— | |||
[separation of [part of] the dominant tenement from the servient tenement caused by: | ||||
[the subdivision shown on* [** | ] ] | |||
[effluxion of time*** | ] | |||
[merger of**** | ] | |||
and the [easement(s) [profit(s) à prendre] no longer [serve(s) the dominant tenement] [benefit(s) the grantee in gross]. | ||||
| 3 | Addresses for service of notice are complete and accurate to the best of my knowledge and belief. | |||
AND I make this declaration conscientiously believing the same to be true by virtue of the Oaths and Declarations Act 1957 | ||||
DECLARED at this day of 20 before me: | ) ) ) | |||
A person authorised to take a statutory declaration under the Oaths and Declarations Act 1957 | ||||
| * | Enter number of subdivision plan | |
| ** | Enter other reason for separation of dominant and servient tenements | |
| *** | Enter circumstances of expiry | |
| **** | Enter details of merger |