Additions / Changes:

Item 2.1

Persons responsible for keeping Body Corporate records: Tick and complete the applicable Item below

__ Secretary of Body Corporate

Name: ……………………………….…………………………………………………………………………………………...

Address: ………………………………………………………………………………………………………………………....

Phone: (……)…………………………       Fax:     (……)…………………………  Mobile: ………………………………...

Email: ………………………………….……………………………………………………………………………………………

OR

__ Two-Lot Scheme (Lot Owners)

(1) Name: ……………………………….……………………………………………………………………………………….

    Address: ……………………………………………………………………………………………………………………...

    Phone: (……)…………………………      Fax:     (……)…………………………  Mobile: ……………………………...

    Email: ……………………………….……………………………………………………………………………………………

(2) Name: ……………………………….……………………………………………………………………………………….

    Address: ……………………………………………………………………………………………………………………...

    Phone: (……)…………………………      Fax:     (……)…………………………  Mobile: ……………………………...

    Email: ……………………………….……………………………………………………………………………………………

Item 6

If the scheme is a specified two –lot scheme  list the body corporate assets of more than $1000 in value:

OTHERWISE

List the body corporate assets required to be recorded on a body corporate register:

Additions / Changes:

Item 2.3

There is a committee for the Body Corporate:  __ Yes  __ No

The functions of the Body Corporate Committee are performed by:

__ Body Corporate Committee  __ Body Corporate Manager

Item 3

Total Annual Contributions:  $..................................................

Additions / Changes:

Item 3

Extent to which the annual contribution is based on the:

(a) contribution schedule lot entitlement*: …………………………………………….

(b) interest schedule lot entitlement*:       …………………………………………….

*Note: The contribution schedule lot entitlements and interest schedule lot entitlements for the lots in the scheme are set out in the community management statement for the scheme.

Item 4

'Original Owner Selling' Item Deleted

Item 9

Name/s: ………………………………………………………………………….………………………………………..

The Buyer/s named above confirms being given the following this statement by the Seller/Seller’s Agent before entering into a contract to buy the Lot described in this statement:

Signature/s:………………………………..…………          Witness:………………………...……………………….

Date:  ………………………………

Additions / Changes:

Item 1

Address: ……………………………………………………………………………………………

Additions / Changes:

Heading

DISCLOSURE STATEMENT

Section 206 - Body Corporate and Community Management Act 1997

The Seller (the Seller) of a lot in a community titles scheme must give a person (the Buyer) who proposes to buy the lot, before the Buyer enters into a contract a statement complying with Section 206(2) to (4).

Additions / Changes:

Item 3

Additional Information:

.........................................................................................