Fillable Discharge Authority Form Consumer (Australian National University)

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Discharge Authority Form Consumer (Australian National University)

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Bank of Melbourne – A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714.
BOM9624/12016 03/12
Page 1 of 4
1. Business Loan Connection
If you have or ever did have a business loan connection with the Bank, this may not be the correct form to complete and may delay your
settlement. To avoid this, please contact your Relationship/Business Banker.
2. Security Variation (Substitution)
If your proposed situation matches any of the examples provided below, it is a Substitution. For these type of requests, Section F of the
Discharge Authority Form needs to be completed.
Existing security property is to be sold/released and substitute security being oered:
 
 
 
 
 
3. Repaid Loan
If your release request matches any of the examples listed below it is a Repaid Loan and you must complete Section E of the Discharge
Authority Form.
 
 
 
If we are discharging a Mortgage over a property:
Option 1 the Bank can register the Discharge of Mortgage at the Titles registry on your behalf
Option 2 the Bank can send you the Certiicate of Title and Discharge of Mortgage for you to register at the Titles registry
PLEASE NOTE: If you choose Option 1, a Document Handling fee will be applicable in addition to the State or Territory discharge
registration fee.
4. Sold
Where a property has been sold to another party.
5. Reinance



requires the following information:
 
 
 
 
 
 
 
Please check the following deinitions to determine what type of Release it will be.
Deinitions
Once The Form Is Completed
Once the form is fully completed and signed:
 1300 852 057
 1300 553 209

Mail form to Bank of Melbourne, Locked Bag 20037, Melbourne VIC 3001

Discharge Authority Form – Consumer
Bank of Melbourne – A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714.
BOM9624/12016 03/12
Page 2 of 4

Required ields to be completed:
 ............................................................ 
 ....................................................................... 
 ...................................................................................
 ...................................
Call your Lender/Relationship Manager if you have any questions on how to complete this form; OR
OR
Contact your local branch
 
No 
contact your Relationship Manager/Business Banker or
Business Banking Solutions on 138 266 to arrange for release of security
NOTE: Include previous name if name has changed during the life of the loan. Use additional form if more than 4 people are parties to the loan.

Borrower Guarantor

Borrower Guarantor

Borrower Guarantor

Borrower Guarantor
Contact name
Mobile number Work phone number Home phone number


Mailing address of each party on loan for ALL correspondence after settlement. (If there are more parties on the loan, please attach on a
separate sheet clearly labelled with your loan account number).
Customer (1)

Customer (2)

Customer (3)

Customer (4)

Property (1)
Unit/Street no. Street name
  
Property (2)
Unit/Street no. Street name
  
Property (3)
Unit/Street no. Street name
  
Property (4)
Unit/Street no. Street name
  
Please Read These Instructions Carefully Before Completing The Form
Section A - Customer Details (Full name of ALL parties involved)
Section B - Property/Security(s) To Be Released
Bank of Melbourne – A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714.
BOM9624/12016 03/12
Page 3 of 4

paid out in full
.
is to be
Closed
?  No
limit reduced to
balance reduced to
For portfolio loans: Convert to Savings Account Close Loan Account
is to be
Closed
?  No
limit reduced to
balance reduced to
For portfolio loans: Convert to Savings Account Close Loan Account
is to be
Closed
?  No
limit reduced to
balance reduced to
For portfolio loans: Convert to Savings Account Close Loan Account
is to be
Closed
?  No
limit reduced to
balance reduced to
For portfolio loans: Convert to Savings Account Close Loan Account
PLEASE NOTE:
Where all loans are not being paid out in full, the Bank will contact the customer directly and all requests are subject to the Bank approval. If you
have a Personal Loan the payout igure can only be calculated on the morning of settlement
Would you like the Bank to collect all the proceeds at settlement?
No


NOTE:
•Thesefundswillrequire3daysclearanceforavailability
•Ifnoaccountisnominated,delaysmayoccur

No

Withdraw any shortfall funds from Bank of Melbourne account number
Account number Account Name
Would you like the Bank to register the discharge of the mortgage at the Lands Title Oice?
No
 please provide a Bank of Melbourne account number to debit fees
OR send cheque
3
by registered mail to my residential address as per Section A, OR
to my nearest branch

Name of person collecting documents
(please tick one box only)
Sold
Reinance to
(Financial
Institution)
Go to

Anticipated settlement date
/ /
(Substitution) Go to 
Loan has been repaid (no settlement required) Go to 

FULL release of all security properties, or
PARTIAL release only for the above property
 For partial discharges, an additional valuation fee may apply.
Section C - Settlement Type
Section D - Settlement Details
Section E - Loan Has Been Repaid (No Settlement Required)
Bank of Melbourne – A Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714.
BOM9624/12016 03/12
Page 4 of 4

Company name 
Contact name  Fax number


Certiicate of title reference Mortgage number
 
 
 
Settlement location
I/We authorise the Bank to release the above security and to:
 
 
 
 

charge the applicable fee, if the Bank needs to obtain a valuation of the mortgaged property.

I/We also agree to be liable for any outstanding amount if there has been any error made in calculating the settlement amount.
 Full name Date
✗
Executor

/ /
 Full name Date
✗
Executor

/ /
 Full name Date
✗
Executor

/ /
 Full name Date
✗
Executor

/ /
Existing security property has been sold and substituted security being oered.

Unit/Street No. Street Name
  
or
Term Deposit Account

your nearest branch

, OR

Section F - Security Variation (Substitution)
Section G - Change to Customer Authority (all parties must sign)
Section H - Solicitors/Conveyancers/Reinanciers/Other Agents Details
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Discharge Authority Form Consumer (Australian National University)

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Completed 11 February 2021

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