SEARCH REQUEST FORM20104871750 by lindayy


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									                                                                                               FEES - GST FREE - ABN 81 913 830 179
Extract - $17
Copy of documents - $17 for the 1 page & $1 for each page
thereafter, per document
Certified copy of documents - $18 for the 1 page and $2 for each
page thereafter, per document

                                                                                                   INCORPORATED ASSOCIATIONS SEARCH REQUEST FORM
                                                                                                                                    Section 59, Associations Incorporation Act 1984

                                                                                         *Name:                                                                              *Telephone:

                                                                                         Your organisation:

                                                                                         Email:                                                                              Fax:

                                                                                         *Postal address or DX:
Please circle C (certified) or P (photocopy) to indicate which document/s you require

                                                                                         *ASSOCIATION NAME:

                                                                                                                                                               REGISTRATION NO.:
                                                                                                                                        OFFICE USE ONLY                                                      OFFICE USE ONLY

                                                                                                    P    Extract of association               pg    $17            C     P    Objects                            pg   $

                                                                                             C      P    Cert. of incorporation               pg    $              C     P    Rules (constitution)               pg   $

                                                                                             C      P    Incorporation application            pg    $              C     P    Cert. of vesting of property       pg   $

                                                                                             C      P    App. to change name                  pg    $              C     P    App. for cancellation              pg   $

                                                                                             C      P    Public officer                       pg    $              C     P    Other: _______________             pg   $
                                                                                             C      P    Annual statement                     pg    $                                          TOTALS:           pg   $
                                                                                                         year/s: _________________

    Please indicate if you wish to receive your search via email (please note that certified documents cannot be emailed and
size restriction of 20mb applies, you will be notified if the search is affected).

•                                                                                       The Registry will contact you regarding the fees within 5 working days of receiving this request,
•                                                                                       Fields marked (*) MUST be completed and delays may occur if this form is completed incorrectly or illegibly,
•                                                                                       Documents containing current/most recently lodged information only will be provided unless otherwise requested, and
•                                                                                       If the Registry does not receive confirmation of order/payment within 28 days of quote, this search request will be closed.

Signature: ______________________________________________________________ Date: ______________________________

OFFICE USE ONLY (please date comments):                                                                                                                             EBCO no.:
                                                                                                                                                                    Quote provided (COST:$       )
                                                                                                                                                                    Receipt no.:
                                                                                                                                                                    BRS payment allocated
                                                                                                                                                                    Docs sent/request withdrawn/finalised

                                                                                                      Registry of Co-operatives & Associations 154 Russell Street, PO Box 22, Bathurst NSW 2795 Australia
                                                                                                  DX 3123 Bathurst FREECALL NUMBER 1800 502 042 TTY (02) 9338 4943
                                                                                                                            Search branch: Tel (02) 6333 1473 Fax (02) 6333 1484

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