Registrar of Ships

Take notice that 1

of 2

hereby withdraws absolutely the caveat registered on 3

in relation to the ship or shares in the ship 4

the official number of which ship is

I am entitled to withdraw the caveat being (Indicate which is applicable)

caveator

solicitor of the caveator, having authorisation to do so

agent of the caveator, having authorisation to do so

the executor of the will or administrator of the estate of the caveator

a trustee or official receiver or other person in whom the interest claimed by the caveator is vested pursuant to the Bankruptcy Act 1966

a person in whom there is entrusted, by reason of the mental incapacity of the caveator, pursuant to an order of a court of a State or Territory or pursuant to a law of a State or Territory, the management and care of the interest claimed by the caveator

and I produce for noting documentary evidence of that authorisation.

Dated at

on the day of 20

Signed by 5

in the presence of 6

7 …………………………………………………………………………………………………………………………..….

……………………………………………………………………………………………………………………………..

1 Full name of caveator in block letters

2 Address of caveator in block letters

3 Date of registration

4 Name of ship

5 Full name and signature of person withdrawing the caveat

6 Legible statement of name and address of witness

7 Signature

Except where indicated by * the collection of information requested in this form is either required or authorised by the Shipping Registration Act 1981 (the Act). It will be used for purposes related to the Act (including possible overseas disclosure) and will be available for public search in circumstances as the Act requires. It may be made available to government agencies for statistical and administrative purposes. Failure to provide the information will result in the transaction not being processed. To contact us, or for more information on how to access or correct your personal information or how to make a privacy complaint, visit www.amsa.gov.au/privacy-policy