ࡱ> !c S0bjbjnn C f fi'-)-)-)-)-)4a)a)a)h)L*a)c`&1+:k++++E.E.E._______$b?ev`-) 3#.#." 3 3`-)-)++6`777 3-)+-)+_7 3_77NX [+g3%3Z0_3`0c`Zfh4f`[[f-)[E.G/7/0wE.E.E.``X60E.E.E.c` 3 3 3 3fE.E.E.E.E.E.E.E.E. ': Application for extinguishment of charge and/or cancellation of notice - Retirement village Retirement Villages Act 1986 Sections 32 and 39 Warning: Enter text in spaces provided only. Consumer Affairs ɫƵ will not accept your form, or consider it lodged, if you remove or change any questions or other text. Application details Where the application relates to only part of the land contained in a certificate of title, applicants are advised to discuss the application with Consumer Affairs ɫƵ before proceeding. What are you applying to the Director for? (mark appropriate box with an X) Extinguishment of charge onlyCancellation of notice onlyBoth extinguishment of charge and cancellation of noticeWhich retirement village does this application relate to? Name of retirement villageAddress of retirement villagePostcode of retirement villageDaytime telephone number of retirement villageName of owner of retirement villageAddress of owner of retirement villagePostcode of owner of retirement villageSpecify the land to which this application relates VolumeFolio Are you applying to lift the charge/notice on all of the retirement village land or only part of the land? (mark appropriate box with an X) All of the landPart of the land as shown in the attached survey planIn accordance with sections 32 and 39 of the Retirement Villages Act 1986, the owner must serve a Notice on all residents to inform them of this application. A copy of the Notice form is available from the  HYPERLINK "http://www.consumer.vic.gov.au" Retirement village operators section of the Consumer Affairs ɫƵ website (consumer.vic.gov.au/retirementvillageoperators) or by phoning 1300 55 81 81. Please specify the date on which the Notice was served on all residents / /Signature of applicant Documents you must submit with your application For your application to be considered, you must attach the following documents: The completed statutory declaration on the following page, signed by the owner and witnessed by an authorised person. Note: If for any reason you are unable to sign the statutory declaration, contact Consumer Affairs on 1300 55 81 81.A copy of the Notice the owner has served on all residents in accordance with section 32 and 39 of the Retirement Villages Act 1986 and, if applicable, the relevant approved newspaper advertisement. Consumer Affairs ɫƵ considers that notices should be served individually on all present residents and former residents or their legal personal representatives if their entitlements have not been paid. An advertisement in the form approved by the Director in a newspaper circulating in ɫƵ is sufficient notice to all other former residents. The applicant should hold evidence of service of the notice, to allow inspection by Consumer Affairs ɫƵ on request.A certified copy of the register search statement of the Certificate of Title available from ɫƵn Land Registry Services. Details of purchase options can be provided by phoning (03) 9102 0401A full company search (extract) from ASICIf applying to lift the charge/notice on only part of the land, you must also attach a survey plan. This plan must be prepared and certified by a surveyor. It must define: the boundaries of the land to which this application relates the land and buildings comprising the retirement village and the functions of other land and building; the boundaries of the land in the Certificate(s) of Title set out in the notice or charge How to lodge this application Send your application and supporting documents to: The Director, Consumer Affairs ɫƵ, GPO Box 4567, Melbourne Vic 3001 What happens then If needed, the Director may request further information or evidence before making a decision about your application. As mentioned in question 5. of this form, owners are required to serve a Notice to all residents advising them of this application and stating that they have a right to make submissions to the Director within 60 days after receiving the Notice. A decision on your application cannot be made until the 60 day period has passed. If your application is approved, a Declaration will be published in the Government Gazette and you will be notified in writing. You can produce a copy of this Declaration to the Registrar of Titles who can then record it in relation to the land. If your application is not approved we will notify you in writing. Privacy Consumer Affairs ɫƵ is bound by laws that protect your privacy concerning the collection, use and disclosure of your personal information. Where you do not provide the information required by this form, we may refuse or be unable to process this application. We may need to disclose your personal information to other State and Commonwealth agencies and other persons, particularly the applicant and persons relevant to the submission. You can request access to your personal information by contacting us. For more information, view the HYPERLINK "http://www.consumer.vic.gov.au/privacy"Privacy statement page on the Consumer Affairs ɫƵ website (consumer.vic.gov.au/privacy). Statutory declaration Retirement Villages Act 1986 Sections 32 and 39 This section must be completed by the owner I, (print your full name) of, (print your address, including postcode) do solemnly and sincerely declare that: I am the owner or I am a director/officer of the company which is the owner of the land to which this application relates and I am authorised to make this application on its behalf; and The land to which this application relates is no longer used as a retirement village (Consumer Affairs ɫƵ considers that the words "is no longer used" cover the situation where the land was never used for retirement village purposes despite coming under the certificates of title described in the notice or charge); and In accordance with sections 32 and 39 of the Retirement Villages Act 1986, I have served on all residents of the retirement village and if their entitlements have not been paid, on former residents and their legal personal representatives, a Notice informing them that I have applied for a extinguishment of charge and/or cancellation of notice on the land to which this application relates which explains the consequences of making the application and stating that they have a right to make submissions to the Director within 60 days after service of the Notice and if applying for a cancellation of notice, this Notice to residents has also been served on all former residents of the retirement village and if any former residents have died, the Notice was served upon their legal personal representatives; and In relation to an application to extinguish a charge, I have no knowledge of any proceedings by a resident to obtain payment of a refundable in-going contribution or to enforce the charge; and All documents and copies of documents accompanying this application are true and correct. I acknowledge that this declaration is true and correct and I make it in the belief that a person making a false declaration is liable to the penalties of perjury. Declared at (print suburb or town and Australian State or Country) on the date of / / You must sign this declaration in the presence of the witness Signature of person making this declaration  This section must be completed by the witness Declared at (print suburb or town and Australian state, or country) on the date of / / Before me, being a person authorised to witness the signing of a statutory declaration. Signature of witness Printed name, address, postcode, and qualification to witness this statutory declaration The following people may witness a statutory declaration within ɫƵ A member of the Police Force The Sheriff or a Deputy Sheriff A Justice of the Peace A notary public A registered medical practitioner A registered dentist A veterinary practitioner A pharmacist A principal in the teaching service The manager of a bank A barrister and solicitor of the Supreme Court A clerk to the barrister and solicitor of the Supreme Court The Prothonotary or a Deputy Prothonotary of the Supreme Court The Registrar or a Deputy Registrar of the County Court The Principal Registrar of the Magistrates Court The Registrar or a Deputy Registrar of the Magistrates Court The Registrar of Probates or an Assistant Registrar of Probates The associate to a Judge of the Supreme Court or of the County Court The secretary of a Master of the Supreme Court or of the County Court A person registered as a patent attorney under Part XV of the Patents Act 1952 of the Commonwealth A member or former member of either House of the Parliament of ɫƵ A member or former member of either House of the Parliament of the Commonwealth A councillor of a municipality A senior officer of a Council as defined in the Local Government Act 1989 A member of the Institute of Chartered Accountants in Australia or Australian Society of Accountants or National Institute of Accountants A person who holds a prescribed office in the public service under Section 107A of the Evidence Act 1958 The secretary of a building society A minister of religion authorised to celebrate marriages A fellow of the Institute of Legal Executives (ɫƵ) Privacy Consumer Affairs ɫƵ is bound by laws that protect your privacy concerning the collection, use and disclosure of your personal information. Where you do not provide the information required by this form, we may refuse or be unable to process this application. We may need to disclose your personal information to other State and Commonwealth agencies and other persons, particularly the applicant and persons relevant to the submission. You can request access to your personal information by contacting us. For more information, view the HYPERLINK "http://www.consumer.vic.gov.au/privacy"Privacy statement page on the Consumer Affairs ɫƵ website (consumer.vic.gov.au/privacy).     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