PLANNING BODY COMMUNITY MANAGEMENT STATEMENT NOTATION

QUEENSLAND TITLES REGISTRY	FORM 18C Version 1

Body Corporate and Community Management Act 1997	Page 1 of 1

1.	Name of community titles scheme

2.	Reference to survey plan to be lodged with statement (if applicable)

3.	Planning body community management statement notation

signed

name and designation

name of planning body

Planning Body Reference Number: