Victorian Consolidated Regulations

LAND REGULATIONS 2016 - SCHEDULE 1

Schedule 1—Application to surrender land

Regulation 6(1)

APPLICATION FOR AUTHORITY TO SURRENDER LAND UNDER SECTION 22C OF THE LAND ACT 1958

To the Attorney-General of Victoria

Under section 22C of the Land Act 1958 —

    [ name ]

^of

    [ address ]

being the *registered proprietor/*person seized of an estate in fee simple in the land/*municipal council of a municipal district

    [ description of land ]

apply for authority to surrender that land to Her Majesty.

It is declared that—

        (a)     the land is not subject to any mortgage or charge; and

        (b)     the land *is/*is not subject to any lease, tenancy or licence; and

    [ details of any lease, tenancy or licence, if applicable ]

        (c)     notice of intention to make this application was published—

    on [ date ] and in [ name of newspaper ]

*Signed:

    [ signature of applicant ]

    [ signature of witness ]

    [ name of witness ]

*Municipal council seal

    [ affix seal and insert attestation clause ]

*Municipal council delegate

    [ insert name, designation and signature of delegate of municipal council ]

Dated:

*Delete if not applicable.

Explanatory notes

1.     A registered proprietor of land or a person seized of an estate in fee simple may apply to surrender land to the Crown if that land is referred to in Schedule Two A of the Land Act 1958 or is declared to be land to which section 22C of the Act applies.

2.     A municipal council of a municipal district may apply to surrender land to the Crown if that land is referred to in Schedule Two B of the Land Act 1958 .