© Bank of Melbourne - A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714. BOMW00661 1222 Page 1 of 2
Repaid Loan Advice.
Note: LIS Diary when documents received.
Date: / / From (Branch)
Branch No. Employee No. Phone No. ( )
Loan account No. Line of Credit Account No. CIS No.
SECTION 1 (To be completed by branch when discharge payment is received).
Customer Name Phone No. ( )
COLLECTION BRANCH AND BRANCH NO.
Address of property to be released
Is there a second mortgage?
Yes ➤ State name of Bank and Branch: Number:
No
Has second mortgage been paid
in full?
Yes ➤
Customer must produce (on collection) Discharge of Mortgage or letter confirming
that they have no further interest in the documents.
No ➤ Documents will be sent to second mortgagee.
Will all the parties named on the
Certificate of Title be attending
collection?
Yes
No ➤
‘Authority’ section below to be completed by the customer who is unable to attend
collection OR an authorisation letter required from the customer/s who is unable to
attend collection, providing a loan number and an authorised customer name.
Documents to be held in
safe custody?
Yes ➤
Fee payable $
Please refer to the G/L Number in Section 2
No
BOM Account for Fee: BSB Account No.
Require discharge registered at
Land Titles Oce? (Please tick Yes
if property to release is in New
South Wales, Victoria, Western
Australia or South Australia)
Yes ➤ Email completed form to mortgagesecurity[email protected]
No account – Request cheque in favour of relevant Land Titles Oce. Please staple the bank
cheque in front of the form and send to Mortgage Discharge Team. Bank cheque #
No ➤ Email completed form to mortgagesecurityvariations@bankofmelbourne.com.au
Land Titles Oces
NSW – Land Registry Services ACT – Access Canberra WA – Landgate
QLD – Department of Natural Resources VIC – Land Titles Oce SA – Covered under separate form
RESET
Repaid Loan Advice.
© Bank of Melbourne - A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714. BOMW00661 1222 Page 2 of 2
SECTION 2 (To be completed by Full Discharge Team).
The following documents are forwarded for collection borrower(s):
Certificate of Title – Volume Folio
Mortgage no. Survey
Discharge of mortgage Certificate of Compliance
Building Certificate Other
Safe Custody G/L Numbers
NSW – 6203012 02 1912460 0000 ACT – 6203012 01 1912460 0000 WA – N /A
QLD – 6203012 04 1912460 0000 VIC – 6203012 03 1912460 0000 SA – Covered under separate form
SECTION 3 Privacy Statement.
All personal information and credit-related information we collect about you is collected, used and disclosed by us in accordance with our
Privacy Statement which is available at bankofmelbourne.com.au/privacy/privacy-statement or by calling us on 13 22 66. Our Privacy
Statement also provides information about how you can access and correct your personal information, and make a complaint. You do not have
to provide us with any personal information or credit information but, if you don’t, we may not be able to process your application or request.
SECTION 4 (To be completed when documents are collected from branch. Please ensure customers (all) sign prior to
sending to the Full Discharge Team). Please DO NOT detach this section from the form.
Note special instructions: Signatures are to be checked against signatures on mortgage.
I/We confirm that the above-mentioned documents were received from Bank of Melbourne.
Borrower’s Signature(s) Borrower’s Signature(s) Date
✗ ✗
/ /
Witness (Bank of Melbourne ocer)
✗
Note: LIS Diary when documents released and return form to Full Discharge Team, Level 3, Kogarah
Please return after 30 days if the documents are not collected
AUTHORITY
I/We hereby authorise Bank of Melbourne to hand all deeds and documents held in connection with loan number:
to
(a specimen of whose signature appears below) on payment to you of our total indebtedness.)
Borrower’s Signature 1 Borrower’s Signature 2
✗ ✗
Specimen Signature 1 Specimen Signature 2
✗ ✗
(authorised party) (authorised party)
(Please ensure each borrower has signed the above authority before documents are released.)
