QUEENSLAND TITLES REGISTRY	CARBON ABATEMENT INTEREST	FORM 36 Version 1

Land Title Act 1994 and Land Act 1994	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. Grantor	Lodger (Name, address, email & phone number)	Lodger Code (if any)
2. Description of Carbon Abatement Interest/ Lot on Plan	Title Reference
3. Grantee Given names	Surname/Company name and number	(include tenancy if more than one and interest if not fee simple)
4. Termination date or Event
5. Consideration
6. Grant/Execution The Grantor grants to the Grantee for the above consideration a Carbon Abatement Interest 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)