DMW
LODGED BY:
DOCUMENT NUMBER
NORFOLK ISLAND
DISCHARGE OF MORTGAGE
LAND TITLES ACT 1996
The Mortgage in Item 2 is discharged as follows- (tick whichever is applicable)

In relation to the land described in Item 1

In relation to the mortgagor described in Item 3

In relation to the mortgagee described in Item 4
1.
LAND
LOT
SECTION
PORTION
TITLE NO/EDITION
2. MORTGAGE NO.
3.MORTGAGOR (FULL NAME & ADDRESS OF MORTGAGOR (S) TO BE DISCHARGED PUSUANT TO S.77(2)(b) LAND TITLES ACT 1996)
4.MORTGAGEE (FULL NAME ONLY)
Received the sum of one dollar being in full satisfaction and discharge of the above mentioned mortgage so far as it affects the
land/dealing above described but reserving and without prejudice to the rights powers and remedies of the said bank as against
the balance of the land if any comprised in the said mortgage and as against the Mortgagor and all sureties and other persons
whether under the said or any other security and against the property comprised in or charged by any such other security
5. DATE
5.
EXECUTION (NB ALL CURRENT MORTGAGEES MUST SIGN)
SIGNED at NORFOLK ISLAND
In my presence on behalf of:
WESTPAC BANKING CORPORATION
For and on behalf of:
WESTPAC BANKING CORPORATION and the
undersigned states that no notice of revocation has been
received of the Power of Attorney No ...................
under the authority of which this mortgage has been signed
…………………………………..
Who is personally known to me
___________________________________________________________________________________________
DMWwpd26069
OFFICE USE ONLY
DOCUMENTS LODGED HEREWITH:
CERTIFICATE OF REGISTRATION
EXAMINED & REGISTERED
DATE
DMWwpd26069