QUEENSLAND TITLES REGISTRY	COVENANT	FORM 31 Version 3

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

Dealing Number	Lodger (Name, address, E-mail & phone number)	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 Titles Queensland website.	Code
1. Covenantor
2. Description of Covenant / Lot on Plan	Title Reference
3. Covenantee
4. Description of Covenant (include reference to relevant section of legislation)
5. Execution The Covenantor being the registered owner of the lot described in item 2 covenants with the Covenantee in respect of the covenant described in item 4 and:- *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 Covenantor'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 Covenantee's Signature (Witnessing officer must be in accordance with Schedule 1 of Land Title Act 1994 eg Legal Practitioner, JP, C Dec)