QUEENSLAND TITLES REGISTRY	RELEASE OF COVENANT/	FORM 33 Version 3

Land Title Act 1994and Land Act 1994	PROFIT A PRENDRE	Duty Imprint	Page 1 of 1

Dealing Number
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. Type/Dealing No. of instrument/document being released Type of Instrument/Document Dealing Number	Lodger (Name, address, E-mail & phone number)	Lodger Code
2. Lot on Plan Description	Title Reference
3. Grantor/Covenantor
4. Grantee/Covenantee
5. Execution by Grantee/Covenantee *Full Surrender The Grantee/Covenantee releases the covenant/profit a prendre in item 1 so that the covenant/profit a prendre is extinguished. *Partial Surrender The Grantee/Covenantee releases the covenant/profit a prendre in item 1 so far as relates to the land in item 2:- *so far as relates to a part of the land being *so far as relates to the substance taken from the land being *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 Grantee's/Covenantee's Signature (Witnessing officer must be in accordance with Schedule 1 of Land Title Act 1994 eg Legal Practitioner, JP, C Dec)