Westpac Reuqest To Release Form Page 3
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1
2
3Section E
Settlement Details
In the boxes below please specify the Loan account number(s) and whether they are to be paid out in full.
–
is to be paid out in full?
Yes
No desired amount to be paid is
$
–
is to be paid out in full?
Yes
No desired amount to be paid is
$
–
is to be paid out in full?
Yes
No desired amount to be paid is
$
–
is to be paid out in full?
Yes
No desired amount to be paid is
* Where all loans are not being paid out in full, Westpac will contact the customer directly and
$
all requests are subject to Westpac approval
**If you have a Personal Loan the payout figure can only be calculated on the morning of settlement
Would you like the Bank to collect all the proceeds at settlement?
–
No
Yes nominate account you would like any surplus credited to?
NOTE: these funds will require 3 days clearance for availability
Section F
Loan Has Been Repaid
Would you like the Bank to register the discharge of the mortgage at the Lands Title Office?
No
Yes please provide a Westpac BSB and account number to debit fees
–
OR send cheque (call 132 558 for amount)
Where would you like the documents to be sent? (✓)
by registered mail to my residential address as per Section A, OR
to my nearest branch
Please specify branch
Name of person collecting documents
Section G
Change to Customer Authority (all parties must sign)
I/We authorise the Bank to release the above security and to:
• clear or reduce my/our loans;
• charge the applicable fees in accordance with the Terms and Conditions of my/our loan;
• provide a payout figure to my solicitor/conveyancer/refinancer/agent prior to settlement. I also agree that
the Bank will place a hold on my/our loan account, which will allow for no further withdrawals
from the day this form is received;
• cancel all facilities linked to the loan account (i.e. offset facility);
• 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.
Customer () signature
Full name
Date
/ /
Customer () signature
Full name
Date
/ /
Customer (3) signature
Full name
Date
/ /
Section H
Solicitors/Conveyancers/Refinanciers/Other Agents Details
Company name
Your reference
Contact name
Phone number
Fax number
( )
( )
Certificate of title reference
Mortgage number
()
()
()
()
Settlement location
Page 3 of 3
RRS00 (04/08) 33566 • Intranet
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