CLIENT AUTHORISATION Version 6.
When this form is signed, the Representative is authorised to act for the Client in a Conveyancing Transaction(s).
Privacy Collection Statement: The information in this form is collected under statutory authority and used for the purpose of maintaining
publicly searchable registers and indexes and for the other purposes set out in clause 4.1 of this form.
Representative Reference: 201158
CLIENT 1 CLIENT 2
CLIENT DETAILS
NAME Philip Geoffrey Nelson Chau Thi Ngoc Nelson
ACN/ARBN
ADDRESS 56 Alpita Street Kuraby 4112 QLD 56 Alpita Street Kuraby 4112 QLD
AUTHORITY SPECIFIC AUTHORITY STANDING AUTHORITY BATCH AUTHORITY
TYPE
(set out conveyancing ends on revocation or expiration date:___/____/___ (attach details of conveyancing
transaction details below) transaction(s))
(tick relevant conveyancing transaction(s) below)
CONVEYANCING TRANSACTION(S) 1 CONVEYANCING TRANSACTION(S) 2
PROPERTY Chau Thi Ngoc Nelson
ADDRESS Philip Geoffrey Nelson
TRANSACTION DETAILS
LAND TITLE
REFERENCE Title Reference 13465097
(S) Title Reference 13465097
Lot 4 on RP91478
(and/or Lot 4 on RP91478
property
description)
CONVEYANC TRANSFER MORTGAG CAVEAT TRANSFER MORTGAGE CAVEAT
ING E
TRANSACTIO PRIORITY DISCHARG WITHDRAWAL OF CAVEAT PRIORITY DISCHARGE/ WITHDRAWAL OF
N(S) NOTICE E/ NOTICE RELEASE OF CAVEAT
RELEASE MORTGAGE
OF
MORTGAG
E
OTHER (set OTHER (set out
out below or below or attach
attach details) details)
ADDITIONAL
INSTRUCTIO
NS
CLIENT 1 / CLIENT AGENT 1 CLIENT 2 / CLIENT AGENT 2
I CERTIFY that:
(a) I am the Client or Client Agent; and
(b) I have the legal authority to instruct the Representative in relation to the Conveyancing Transaction(s); and
CLIENT AUTHORISATION AND SIGNING
(c) if I am acting as a Client Agent that I have no notice of the revocation of my authority to act on behalf of the Client.
I AUTHORISE the Representative to act on my behalf, or where I am a Client Agent to act on behalf of the Client, in accordance with
the terms of this Client Authorisation and any Participation Rules and any Prescribed Requirement to:
(a) sign documents on my behalf as required for the Conveyancing Transaction(s); and
(b) submit or authorise submission of documents for lodgment with the relevant Land Registry; and
(c) authorise any financial settlement involved in the Conveyancing Transaction(s); and
(d) do anything else necessary to complete the Conveyancing Transaction(s).
SIGN HERE
DATE / / DATE / /
CLIENT/CLIENT AGENT Philip Geoffrey Nelson CLIENT/CLIENT AGENT Chau Thi Ngoc Nelson
NAME NAME
CAPACITY Transferor CAPACITY Transferor
If applicable AUSTRALIAN CONSULAR OFFICE WITNESS or If applicable AUSTRALIAN CONSULAR OFFICE WITNESS or IDENTITY
IDENTITY AGENT (if not a Representative Agent) AGENT (if not a Representative Agent)
NAME DATE NAME DATE
REPRESENTATIVE REPRESENTATIVE AGENT (if applicable)
NAME Stokes Lawyers Pty Ltd
ACN/ARBN 98 160 272 006
ADDRESS PO BOX 2020 SPRINGWOOD QLD 4127
I/We CERTIFY that reasonable steps have been taken to ensure that this Client Authorisation was signed by each of the persons named
above as Client or Client Agent.
SIGNATURE OF REPRESENTATIVE OR REPRESENTATIVE AGENT IF APPLICABLE:
REPRESENTATI
SIGN HERE
SIGN HERE
VE DETAILS
DATE / / DATE / /
SIGNATORY NAME: SIGNATORY NAME:
CAPACITY: CAPACITY:
