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TRANSFER OF LAND ACT 1893 - SECOND SCHEDULE

— Application to bring land under Act

[s. 20]

        [Heading inserted: No. 19 of 2010 s. 38(5).]

Western Australia

Application to bring Land under the operation of the Transfer of Land Act 1893

To the Registrar of Titles

I [ insert name and address ] hereby apply to have the land hereinafter described brought under the operation of the Transfer of Land Act 1893 . And I declare —

1.         That I am the owner of an estate in fee simple in possession [ or of an estate of freehold in possession for my life or otherwise as the case may require ] in All That

        [ if the land be part only of that granted by the Crown add which land contains ( insert area ) or thereabouts and is described in the document numbered

                in the Schedule hereto or otherwise after the word thereabouts set forth a sufficient description to identify the land .]

2.         That such land including all buildings and other improvements thereon is of the value of $ and no more.

3.         That there are no documents or evidences of title affecting such land in my possession or under my control other than those included in the Schedule hereto.

4.         That I am not aware of any mortgage or encumbrance or lease affecting the said land or that any other person hath any estate or interest therein at law or in equity in possession remainder reversion or expectancy [ if there be any add other than as follows and set the same forth .]

5.         That the said land is occupied [if unoccupied prefix un to occupied if occupied add by whom and state the name and address of the occupant and the nature of his occupancy .]

6.         That the names and addresses so far as known to me of the occupants of all lands contiguous to the said land are as follows: —

7.         That the names and addresses so far as known to me of the owners of all lands contiguous to the said land are as follows: —

Dated this day of , 20


Made and subscribed at
in the presence of


[The applicant, if in the State, to sign before the Registrar, an Assistant Registrar or any person who, under the Oaths, Affidavits and Statutory Declarations Act 2005 , is an authorised witness for an affidavit made in the State; if out of the State, to sign before any person who, under that Act, is an authorised witness for an affidavit made out of the State.]

Schedule of Documents Referred To.


        [Second Schedule amended: No. 17 of 1950 s. 71; No. 113 of 1965 s. 4; No. 81 of 1996 s. 146(3); No. 24 of 2005 s. 63.]



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