Privacy Collection Statement The informat ion under this form is collected under statutory authority and is used for the purpose of maintaining publicly searchable registers and indexes in the Victorian Land Reg istry.
Name: Phone: Address: Ref: Customer Code: The applicant applies to have recorded in the Register the release variation or modification of the covenant in relation to the burdened land.
Burdened Land: Applicant: Benefited land: Covenant:
Date:
Signed