MORTGAGE DISCHARGE AUTHORITY

To: [NAME OF BANK/LENDER] ABN: [LENDER ABN] Address: [LENDER ADDRESS]

Date: [DD/MM/YYYY]

1. BORROWER DETAILS

Full Legal Name(s): [NAME 1] / [NAME 2] Loan Account Number: [ACCOUNT NUMBER] Current Mailing Address: [STREET ADDRESS] [SUBURB] [STATE] [POSTCODE] Phone Number: [PHONE NUMBER] Email Address: [EMAIL ADDRESS]

2. SECURITY PROPERTY DETAILS

Property Address: [PROPERTY STREET ADDRESS] [SUBURB] [STATE] [POSTCODE]

Title Reference:

• Volume: [VOLUME NUMBER]
• Folio: [FOLIO NUMBER]
• Torrens Title / Strata Title: [SELECT ONE]

Registered Mortgage Number: [MORTGAGE DOCUMENT NUMBER]

3. REASON FOR DISCHARGE

• Sale of Property
• Refinance (Payout by new lender)
• Full Repayment of Loan
• Other: [SPECIFY REASON]

4. INSTRUCTIONS

I/We hereby authorise [NAME OF BANK] to prepare and register a Discharge of Mortgage over the property listed above.

I/We understand that a discharge fee applies and authorise [NAME OF BANK] to debit this fee from my/our [LOAN ACCOUNT / NOMINATED ACCOUNT].

Settlement Details (if applicable):

Solicitor/Conveyancer Name: [NAME] Firm Name: [FIRM NAME] Phone: [PHONE] Email: [EMAIL] Reference Number: [REFERENCE]

5. DECLARATION AND SIGNATURE

I/We declare that the information provided in this authority is true and correct.

I/We request that upon registration of the Discharge of Mortgage, the Certificate of Title be returned to:

• Myself/ Ourselves at the address above
• My/Our Solicitor/Conveyancer
• My/Our New Lender: [NEW LENDER NAME]

Signature 1: __________________________

Print Name: __________________________

Date: __________________________

Signature 2: __________________________

Print Name: __________________________

Date: __________________________

6. WITNESS (IF REQUIRED)

Witness Name: __________________________

Signature: __________________________

Date: __________________________

Capacity: [JP / JUSTICE OF PEACE / LAWYER / OTHER]