Mortgage Verification
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4FORM M1A
WESTERN AUSTRALIA
TRANSFER OF LAND ACT 1893
MORTGAGE
(INCORPORATES MORTGAGEE’S EXECUTION OF VERIFICATION OF IDENTITY AND AUTHORITY TO DEAL STATEMENT)
DESCRIPTION OF LAND (Note 1)
EXTENT
VOLUME
FOLIO
ESTATE AND INTEREST (Note 2)
MORTGAGOR (Note 3)
MORTGAGEE (Note 4)
OPERATIVE CLAUSE
The MORTGAGOR mortgages to the MORTGAGEE the estate and interest herein specified in the land herein
described, subject to the Limitations, Interests, Encumbrances, and Notifications as shown on the Certificate of Title
and/or otherwise affect the land under the Transfer of Land Act 1893
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