FM3215-Local Government Inquiry

Local Government Inquiry

Pursuant to the Land and Business (Sale and Conveyancing) Act 1994
Date

DayMonthYear
To: The Chief Executive Officer
of
From
of
as
for the
Dear Sir/Madam

We are required by Section 7 of the Land and Business (Sale and Conveyancing) Act 1994 and Regulation 13 of that Act to make the Prescribed Inquiries shown in Table 1 of Schedule 3 of the above mentioned Regulations and the Prescribed Matters shown as Building Indemnity Insurance and Particulars relating to environment protection in Table 2 of Schedule 3 of the above mentioned Regulations.

We hereby make those inquiries to you in regard to the Land described below.

Information on rates and charges is also required and we request from you a Certificate pursuant to Section 187 of the Local Government Act 1999 in regard to the Land.
Enclosed is
a cheque for
amount($)
and
- a copy of the Certificate(s) of Title to the Land
It would be appreciated of your response to the Section 7 inquiry can be given on the Form recommended by the Local Government Association of South Australia.

Thank you for your assistance.
The Land
Lot No
Section No
Plan No
Certificate(s) of Title
Street 1
Street 2
Suburb
State
Postcode
Owner(s)
Assessment No(s)
Valuer General No
*(Delete where not applicable)
uniqueSubmissionReference
Should be Empty:

Local Government Inquiry