CREATION OF FOREST CARBON RIGHT Section 26(1) Climate Change Act 2010 Privacy Collection Statement The information from this form is collected by the Registrar of Titles under statutory authority and is used for the purpose of maintaining publicly searchable registers and indexes. Lodged by Name: Phone: Address: Reference: Customer Code: The transferor transfers to the transferee the forest carbon right(s) created in accordance with the Climate Change Act 2010 specified in the land described for the consideration expressed and subject to the encumbrances affecting the land including any created by dealings lodged for registration before the lodging of this document. Land: (volume and folio - if the affected land is part of the land in a folio, there may be a need to attach a plan to describe the part) Forest Carbon Right: (select applicable right(s) ) CARBON SEQUESTRATION RIGHT FORESTRY RIGHT SOIL CARBON RIGHT Consideration: Transferor: (full name) Transferee: (full name and address including postcode) Dated: Execution and attestation: 33361106A FCR-C Page of THE BACK OF THIS FORM MUST NOT BE USED Land Victoria, 570 Bourke Street, Melbourne, 3000, Phone 8636-2010 Duty Use Only