IMPORTANT NOTICE
The information contained in this instrument forms part of the public records available for inspection and search by members of the public upon payment of a fee. The information is collected and used for the purpose of maintaining the land register pursuant to the Land Titles Act.

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NC / Form 90 / Ver 1
THE LAND TITLES ACT / For Official Use Only
Instrument No.
Registered By
Registered On

APPLICATION TO NOTIFY CHARGE

DESCRIPTION OF LAND

*CT/SSCT/SCT / MK / TS / LOT NO. / Property Address
Whole or part (If part, to state appd new lot/strata lot or to annex plan and give details)
Vol / Fol

CHARGEE

Name: / CENTRAL PROVIDENT FUND BOARD
Address (within Singapore for service of notice): / No 79 Robinson Road, CPF Building, Singapore 068897

(hereinafter called the “Chargee” which expression shall include its successors and assigns) HEREBY GIVES NOTICE of a Charge created under section 27E of the Central Provident Fund Act (hereinafter called “the CPF Act”) in favour of the Chargee over the registered estate or interest of the belownamed registered proprietor in the abovementioned land

REGISTERED PROPRIETOR

ID/Co Regn No.
Name: /
Address (within Singapore for service of notice):

* Delete accordingly

as security in respect of withdrawal(s) made before and/or on the date of this Application from the Central Provident Fund of moneys standing to the credit of ______, holder of ID No. ______(the proprietor who has withdrawn from the purchase), the first of such withdrawal(s) having been made on or before the date of this Application.

The Chargee and the Registered Proprietor agree that the terms and conditions set out in the Memorandum of Mortgage filed in the Land Titles Registry and numbered as ______(hereinafter called “the said Memorandum”) shall be deemed to be incorporated into this Application subject to the provisions of the CPF Act and the applicable rules and regulations made under the CPF Act from time to time.

*

*(pari passu text to be entered, if applicable)

DATE OF APPLICATION:

EXECUTION BY CHARGEE

Signed by CENTRAL PROVIDENT FUND BOARD by its Authorised Officer
Name:
Signature:
Witness:

CONSENT AND AGREEMENT BY REGISTERED PROPRIETOR

I, ______, the Registered Proprietor of the abovementioned land hereby:-
(a)  irrevocably consent to all my registered estate or interest in the abovementioned land being charged to the Chargee under section 27E of the CPF Act to secure repayment to the Chargee of all moneys withdrawn by the said ______(the proprietor who has withdrawn from the purchase) from his/her account with the Chargee whether before and/or on the date of this Application together with all interest thereon as may be provided in the applicable CPF laws; and
(b)  agree to observe, comply with and be bound by the terms and conditions set out in the said Memorandum.
Signature:
Witness:

CERTIFICATE OF CORRECTNESS

I, solicitor for the CHARGEE hereby certify that this instrument is correct for the purposes of the Land Titles Act and that I hold a practising certificate which is in force as at the date of the instrument.
Name of Solicitor:
Signature:

CERTIFICATE OF CORRECTNESS

I, solicitor for the REGISTERED PROPRIETOR hereby certify that this instrument is correct for the purposes of the Land Titles Act and that I hold a practising certificate which is in force as at the date of the instrument.
Name of Solicitor:
Signature:

CASE FILE REFERENCE

Law firm case file reference:
CPF case file reference:

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ANC- 1 Owner - S27E (Title Out)

1.10.07 Edition