QUEENSLAND TITLES REGISTRY	PLAN COVER SHEET	FORM 21Z Version 2

Land Title Act 1994 and Land Act 1994

Dealing Number	Lodger	Lodger
OFFICE USE ONLY Privacy Statement Collection of information from this form is authorised by legislation and is used to maintain publicly searchable records. For more information see the Department’s website. Print one-sided only	(Name, postal address, E-mail & phone number)	Code
1. Plan Number	Title References
2. No of New Lots No of Public Use Lots No of Secondary Interests (e.g. Easements)
3. Directive Worksheet - OFFICE USE ONLY OFFICE USE ONLY LOTS Standard Volumetric Encumbrances: Building Format Crown Standard with Common Property Explanatory QLD Globe CTS Name check Survey Certificate Building Format Item 6 completed Barcode Label Development Approval date Format of Plan Dealing Notes Form 18 Mortgagee Consent Form 10 Form 18A Registered Owner Ambulatory Boundary Form 18B Planning Body Approval Email Surveyor / Survey Group Associated Dealings: All sheets lodged CISP lodgement Fees checked Data entry Allocations checked New Title directives Public Use Land Park Access YES/NO Road YES/NO No of NEW TITLES Secondary Interests