6079 1589
VICTORIA
APPLICATION TO BRING LAND UNDER THE OPERATION OF THE
"TRANSFER OF LAND STATUTE."
_________________________
(m) If the Certificate of Title is not o issue to the applicant, add And I direct the Certificate of Title to be issued in the name of
(n) After name, add residence, trade profession, or occupation ; and if the land is to be taken in parts, say as to the land described in the schedule of land marked A., and in the name of as to the land described in the schedule of land marked B.
(o) Applicant to sign here; if in the colony, before the Registrar of Titles or an Assistant Registrar,or a Notary Public, Justice of the Peace, Commissioner for taking Affidavits,or Perpetual Commissioner; if abroad, before a Notary Public or a commissioner for taking Affidavits in the Supreme Court of Victoria. |
TO THE REGISTRAR OF TITLES
We Maria Theresa Cole of Charles Street in the Borough of East Collingwood in the County of Bourke Widow Edward James Roche of Maffra in Gippsland in a county unnamed Station Overseer __________ John Bourke Roche of Greymouth in the Colony of New Zealand Gentleman - Mary James Shannon of Greymouth aforesaid Wife of Richard Shannon of Greymouth aforesaid Stationer and the said Richard Shannon _____ ,, _______,, ________,, ________,, hereby apply to have the land hereinafter described brought under the operation of the
Transfer of Land Statute
And We declare--
1. That we are the owners of an estate (b) in fee simple In ALL THAT piece of land, being © part of Portion fifty seven _________,, _______section (d) Parish of Jika Jika, County of Bourke ___________
2. That such land, including all buildings and other improvements thereon, is of the value of Two hundred ___ ,,___ pounds and no more. 3. That there are no documents or evidence of title affecting such land in my possession or under my control, other that those included in the schedule hereto. 4. That I am not aware of any mortgage or encumbrance 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 (h)
5. That the said land is (i) occupied (j) by Colin Leeson Macdonald under an Agreement to purchase
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 (k) on the North unoccupied on the South by Mr Slaney of Charles Street Storeman on the East Charles Street and on the West a right of way
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 (l) on the North by Mrs Greig of Park Street in the Borough of East Collingwood Widow and on the South by Mr Slaney-
Dated this First day of November, One thousand eight hundred and Sixty Seven
Made and subscribed at Melbourne By the said Maria Theresa Cole In the presence of [Mr T A'Beckett] J.P.
John Bourke Roche
Richard Shannon |
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