QUEENSLAND TITLES REGISTRY	PROFIT A PRENDRE	FORM 29 Version 3

Land Title Act 1994 and Land Act 1994	Page 1 of 1

Dealing Number	Duty Imprint
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 Titles Queensland website.
1. Grantor	Lodger (Name, address, E-mail & phone number)	Lodger Code
2. Description of Profit A Prendre/Lot on Plan burdened	Title Reference
Description of Lot on Plan benefited (if applicable)
3. Grantee Given names	Surname/Company name and number	(include tenancy if more than one and interest if not fee simple)
4. Purpose	5. Termination date or Occurrence
6. Consideration
7. Grant/Execution The Grantor grants to the Grantee for the above consideration a profit a prendre for the purpose stated in item 4 and the Grantor and Grantee covenant with each other in terms of:- *the attached schedule; * the attached schedule and document no. ; * document no. * delete if not applicable Witnessing officer must be aware of his/her obligations under section 162 of the Land Title Act 1994 signature full name qualification / / Witnessing Officer Execution Date Grantor's Signature (Witnessing officer must be in accordance with Schedule 1 of Land Title Act 1994 eg Legal Practitioner, JP, C Dec) signature full name qualification / / Witnessing Officer Execution Date Grantee's Signature (Witnessing officer must be in accordance with Schedule 1 of Land Title Act 1994 eg Legal Practitioner, JP, C Dec)