FORM

6/98
DEPARTMENT JOURNAL NUMBER

OF
LANDS Produced
Date Time

......./. ............am/pm
..../....
.
Section 77 Amo Receipt No.
unt
of Land Registration Act Fees
K
OFFICE USE ONLY

DISCHARGE OF MORTGAGE

The mortgagee/lender in the mortgage specified below discharges the mortgagor’s/borrower’s estate or interest Note 1
secured in the mortgage of the land described.

TITLE SUB-LEASE / FREEHOLD LEASE

Volume Folio Journal No.
037 99
LAND DESCRIPTION OF LAND Note 2
Lot/Portion Section/Milinch Town/Fourmil Province Property Name

Kundiawa Chimbu

MORTGAGE Journal No. State whether WHOLE or PART of the mortgage is being
discharged:
GM 10221 Note 3

MORTGAGEE Name
(LENDER) Bank of South Pacific Note 4
PO Box 403
Kundiawa
Chimbu Province

as Joint Tenants/Tenants in Common

ENCUMBRANCES
Subject to encumbrances 1……………………….2…………. . 3..……… …… . . Note 5

Signed by the Mortgagee in the presence of DATED:........................................2011

...............................................................................
(Name of Witness) (PRINT)

.............................................................................. Note 6
(Address of Witness)

.............................................................................. ...................................................................
(Signature of Witness) Signature of the Mortgagee
or Attorney for the Mortgagee
signing under Power of

Attorney No...............................
or Common seal affixed and executed by
authorised proper officers of the
corporation.

LODGED BY ENTERED COMPUTER

UPDATED Note 7

Deputy/Registrar of Titles ........../........../........

Phone Number.

INSTRUCTIONS FOR COMPLETION OF FORM

This form must be completed clearly and legibly and signed in black or dark blue ink. If typed, the ribbon should be of good
quality. You may also use a computer or word processor provided you use a laser printer or a letter quality dot matrix
printer.

Do not make alterations by erasure or the use of correction fluid; rule through any rejected material. Initial alterations in the
margin. Rule through all blank spaces.

If the space provided at any point is insufficient, you may annex additional sheets. Any annexure must contain a heading
which identifies it as such and specifies the parties to the transaction and the date of execution. All additional pages must
be signed by the parties and any attesting witness.

The following instructions relate to numbers in the margin of the form.

1. This form is to be used for the discharge of a mortgage or charge. It may also be used for the partial discharge of
the mortgage or charge, for example, in the case of the land in the mortgage or charge having been subdivided,
and the mortgage or charge having been carried forward onto the titles for the subdivision parcels of land, and the
mortgage or charge being discharged as regards one or some of the subdivision parcels of land.

2. If there is insufficient space in the panel for listing multiple titles, list the titles and land descriptions on an
annexed sheet. The owner’s copy of the title(s) or leases(s), as appropriate, must be produced to the Titles
Office to permit registration of this dealing. Rule through inappropriate words. The land description(s) should be
the same as shown on the title(s). In the case of a partial discharge, the land to which the discharge applies
should be described clearly.

3. Show the Journal number of the mortgage or charge being discharged. If the discharge affects part only of a
mortgage/charge but the whole of the land in the title(s), the word “PART” should be shown.

4. The name of the mortgagee/chargee should be the same as shown on the title(s).

5. The following encumbrances must be noted and proof provided that they do not impede or prevent the discharge
of mortgage from being registered. Caveat, Registrars Caveat, Court Order / Injunction, Writ of Execution

6. The signature of the mortgagee/chargee should be attested by a witness who is not a party to this dealing. The
witness must print his/her name and postal address clearly. In the case of a dealing being executed by a person
who signs by a mark, the witness shall certify that the person appeared to understand the nature of this dealing.
Where a company as proprietor executes the document the company seal of the company must be affixed and
the names and designations of the persons signing under seal must be shown.

7. This dealing, if for land in a State lease, will not be accepted for registration unless rent is paid up to date.