Application to Subdivide or Amalgamate Delivery Share(s) Form 34a

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Application to Subdivide or Amalgamate Delivery Share(s) Form 34a This form covers applications for Water Corporation approval for dealings in delivery share under sections 223, 224, 226 and 227 of the Water Act 1989. Subdivison / amalgamation of a delivery share(s) requires that it be cancelled and new share(s) be issued in its place. Enter details of up to four (4) Delivery share(s) 1. ENTER THE NUMBER OF THE DELIVERY SHARE TO BE SUBDIVIDED / ALMAGAMATED: (DSV - ) 2. ENTER THE NUMBER OF THE DELIVERY SHARE TO BE SUBDIVIDED / ALMAGAMATED: (DSV - ) 3. ENTER THE NUMBER OF THE DELIVERY SHARE TO BE SUBDIVIDED / ALMAGAMATED: (DSV - ) 4. ENTER THE NUMBER OF THE DELIVERY SHARE TO BE SUBDIVIDED / ALMAGAMATED: (DSV - ) Lodging party, if applicable The lodging party may be a broker or solicitor coordinating the application. Complete this section for the lodging party to receive correspondence. GIVEN NAME(S) SURNAME POSTAL ADDRESS: Party ID PHONE NUMBER E-mail Mortgagee consent Is a mortgagee consent required? YES. Has mortgagee consent been attached? YES / NO (advise customer) NO. : May 2013 Privacy Statement: The information from this form is collected under the Water Act 1989, in order to process this transaction. The information is used for the purpose of maintaining the water register and for the provision of statistical water market information. Most of the information in the water register is available to the public. Incomplete forms cannot be processed.

FOR ADDITIONAL DELIVERY SHARES PHOTOCOPY THIS PAGE FIRST AND ATTACH ALL PAGES TO THE APPLICATION Details for up to two (2) new delivery shares 5. LIST ALL VOLUME/FOLIO REFERENCE NUMBER(S) RELEVANT TO THE NEW DELIVERY SHARE, AND ATTACH A COPY OF THE RELEVANT LAND TITLE(S). If there is insufficent space for all titles included under this delivery share, please attach additional details. Volume Folio Pacel () Outlet number(s) and rate(s) ML /Day* Outlet ML/Day Outlet ML/Day i ii v. v vi viii ix. x. * NOTE: The outlet rate may be set by your Water Please seek advice before completing the outlet rate. DELIVERY SHARE RATE 5. LIST ALL VOLUME/FOLIO REFERENCE NUMBER(S) RELEVANT TO THE NEW DELIVERY SHARE, AND ATTACH A COPY OF THE RELEVANT LAND TITLE(S). If there is insufficent space for all titles included under this delivery share, please attach additional details. Volume Folio Pacel () Outlet number(s) and rate(s) ML /Day* Outlet ML/Day Outlet ML/Day i ii v. v vi viii ix. x. * NOTE: The outlet rate may be set by your Water Please seek advice before completing the outlet rate. DELIVERY SHARE RATE Page 2

Land owners signatures All owners of both the original and the amalgamated/subdivided land parcels must sign here to give consent to both the cancellation of all nominated delivery shares and the issue new delivery share(s). If there is insufficent space for all parties to sign please photocopy this page first. GIVEN NAME(S) SURNAME SIGNATURE i ii To be completed if any applicant is a company Please ensure you attach an ASIC company extract that is not more than 12 months old. Signature(s) must be in accordance with the company extract. 1. Name of Company ABN GIVEN NAME(S) SURNAME SIGNATURE POSITION 2. Name of Company ABN GIVEN NAME(S) SURNAME SIGNATURE POSITION Page 3

Explanatory notes: Amalgamate or Subdivide Delivery Share(s) GENERAL 1. Subdivison / amalgamation of a delivery share(s) requires that it be cancelled and new share(s) be issued in its place. 2. This application can be used to cancel and re-issue delivery share. 3. Land subdivision must have already occurred for this application to be approved. 4. The land volume/folios provided must be for the land on which water is to be used and the volume/folios must be as per your land title. 5. A copy of the land title(s) not more than three months old must be provided with your application (for all land to be serviced). Titles and information about relevant fees can be obtained through the Land Registry http://www.land.vic. gov.au 6. It is recommended that this application is finalised before land ownership is transferred since delivery share is linked to land and stays with property irrespective of any water share ownership. 7. In order to vary/transfer delivery share you will need to get the consent of anyone holding a mortgage over the property. The Water Corporation will give you the necessary form to complete if necessary. 8. If you are seeking to reduce your delivery share, termination fees may apply. Please contact yout Water 9. If land is not re-issued with delivery share and ceases to be serviced for the delivery of water, termination fees may apply. Please contact your Water 10. For more information please contact your Water LODGEMENT 11. There is a check-list included with this application and you are encouraged to complete the check-list to ensure your application is complete and accurate. 12. You must complete the Application to Amalgamate or Subdivide Delivery Share(s), and lodge the completed form including payment of the application fee and accompanying documents with the Water Corporation over the counter or by mail. 13. For the current application fee please contact your Water 14. The Water Corporation will not accept faxed or emailed forms as original signatures are required. 15. Please do not photcopy blank forms with the intention of re-using them as the application number on the top righthand corner must be unique for each application. 16. The application form and the schedule of application fees are available from the Water Corporation or at http://www.waterregister.vic.gov.au/public/ ApplicationForms.aspx. If you require further information please contact your Water Corporation: SIGNATURES 17. All owner(s) of both original parcels and subdivded/ amalgamated parcels(s) must sign on page 3 of this application. 18. If there is insufficient room for all owner(s) to sign on page 3 please attach another page for the remainder. 19. If any applicant is a company (ie the company owns or is purchasing the land) the company section on page 3 must be completed. 20. Signatories for a company (eg. Director or Company Secretary) must sign in accordance with an ASIC company extract not more than 12 months. The ASIC company extract must be attached to theapplication. APPROVAL OF THE APPLICATION 21. If the application is approved one letter will be sent to the applicant(s). A letter will also be sent to the lodging party if details are completed on the application. The letter will advise that the application has been approved and recorded in the water register. A Copy of Record will be attached and will state any conditions that apply. It is an offence to fail to comply with any delivery conditions. REFUSAL OF THE APPLICATION 22. If the Water Corporation refuses the application, the Water Corporation will send the applicant(s) a letter stating the reasons for the refusal. A letter will also be sent to the lodging party if applicable. MORE INFORMATION REQUIRED 23. If the Water Corporation requires more information a letter will be sent to the applicant and to the lodging party if applicable. The letter will make clear the missing information and/or incorrect information that requires correction. Note: A reference in these notes to actions to be undertaken by the Water Corporation may mean the Water Corporation is acting as delegate of the Minister under section 306 of the Water Act 1989. DISCLAIMER This publication may be of assistance to you but the State of Victoria and its employees do not guarantee that the publication is without flaw of any kind or is wholly appropriate for your particular purposes and therefore disclaims all liability for any error, loss or other consequence which may arise from you relying on any information in this publication. Goulburn-Murray Water 40 Casey Street PO Box 165 TATURA 3616 T: (03) 5833 5500 F: (03) 5824 5501 Lower Murray Water 741 759 Fourteenth St PO Box 1438 MILDURA 3502 T: (03) 5051 3400 F: (03) 5051 3480 Southern Rural Water 88 Johnston Street PO Box 153 MAFFRA 3860 T: (03) 5139 3100 F: (03) 5139 3150

Check list: Amalgamate or Subdivide Delivery Share(s) ALWAYS Ensure you have paid any outstanding fees/rates (as required by your Water Corporation) before you submit this application. The water corporation may not approve an application until outstanding fees are paid. Write an active delivery share number (DSE) ie. DSE123456 at question 1. Also write the current rate for the delivery share in megalitres at question 1. FOR ANY ADDITIONAL DELIVERY SHARES TO BE SUBDIVIDED/AMALGAMATED: Write the active delivery share number at question 2 (and so on as required). Also write the current rate for the delivery share in megalitres at question 2 (and so on as required). IF A BROKER OR SOLICITOR REQUIRES NOTIFICATION ON THE PROGRESS OF THE APPLICATION: Complete the lodging party section on page 1. IF THERE IS A MORTGAGE OVER THE LAND: Provide mortgagee consent as required. FOR EACH NEW DELIVERY SHARE: If there are more than ten (10) titles to be included please photocopy page 2 for additional space and attach it to your application. In the table, write the volume and folio number for each land parcel under the delivery share. ALWAYS: Write the full and correct name(s) of all owners of all land parcels (both original and new parcels) on page 3. If there is insufficient space to list all owners on page 3, attach an additional page. IF ANY LAND OWNER (OF ORIGINAL PARCELS OR NEW PARCELS) IS A COMPANY (ie THE COMPANY OWNS THE LAND): Complete the company section on page 3 of this application. AND Attach an ASIC Company Extract not more then 12 Months old for each company. ALWAYS: Retain a copy of your application (including any supplements) for future reference. CONSIDER: Do you need to complete any applications pertaining to works, water share associations etc?