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Privacy Collection Statement The informat ion under this form is collected under statutory authority and is used for the purpose of maintaining publicly searchable registers and indexes in the Victorian Land Reg istry.
Lodged at the Office of Titles by: Name: Phone: Address: Ref: Customer Code:
The applicant applies under Section 103(1) of the Transfer of Land Act 1958 to give effect to the court order in the manner specified.
Land: Applicant: Court order: Amendment required:
Date:
Signed: