QUEENSLAND TITLES REGISTRY	SURRENDER OF FREEHOLD LEASE	FORM 8 Version 4

Land Title Act 1994, Land Act 1994 and Water Act 2000	OR SUBLEASE	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. Dealing number of instrument being surrendered	Lodger (Name, address, E-mail & phone number)	Lodger Code
2. Lot on Plan Description	Title Reference
3. Lessor
4. Lessee
5. Surrender/Execution a) Surrender of Freehold Lease/Sublease *Full Surrender The lease/sublease in item 1 is surrendered from / / . *Partial Surrender The lease/sublease in item 1 is surrendered from / / . *so far as relates to the land in item 2. *so far as relates to part of the leased area. OR b) Surrender of Land Act Sublease *I surrender all my right title and interest in the sublease in item 1 as from / / . * 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 Lessee's Signature (Witnessing officer must be in accordance with Schedule 1 of Land Title Act 1994 eg Legal Practitioner, JP, C Dec)
6. Acceptance The Lessor accepts this surrender. / / Execution Date Lessor's Signature