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20<br />
ANNEXURE A<br />
NOMINATION FORM<br />
concerning a Lot Reservation Agreement particulars of which are as follows:-<br />
DEVELOPER: Bendigo Vineyard Estate Pty Ltd (ACN 600 088 211)<br />
LOT HOLDER:<br />
PROPERTY: LOT on the Concept Plan for 805 Archer Road, Kialla,<br />
Victoria 3631, being part of the Land more particularly described<br />
in Certificate of Title Volume (09485) Folio (600)<br />
NOMINEE:<br />
Address:<br />
Phone:<br />
Email:<br />
Pursuant to the conditions of the Lot Reservation Agreement the Lot Holder hereby<br />
exercises the right contained in the above Agreement to nominate the Nominee as<br />
substituted lot holder under the Agreement in lieu of the Lot Holder.<br />
The Lot Holder and the Nominee acknowledge that they will be jointly and severally<br />
liable to the Developer for the due performance of the obligations of the Lot Holder<br />
under the Agreement and payment of any expense resulting from this nomination<br />
(including any Stamp Duty).<br />
DATED the day of 20<br />
……………………………………………….<br />
Signed for and on behalf Lot Holder<br />
……………………………………………….<br />
Signed for and on behalf of the Nomiee
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