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 99 / 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 sections 21 and 27E of the Central Provident Fund Act (hereinafter called “the CPF Act”) in favour of the Chargee over the estate or interest of each of the belownamed Chargors in the abovementioned land

CHARGOR

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

* Delete accordingly

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

(hereinafter together called the “Members” and each individually called the “Member”) by virtue of and arising out of an Agreement for Sale and Purchase (hereinafter called the “said Agreement”) made on ______between the belownamed Registered Proprietor as vendor of the one part and the Members as co-purchasers of the other part which said Charge extends to all the rights, benefits and interests of each of the Members under the said Agreement, as security in respect of withdrawal(s) made:

1)before, on and/or after the date of this Application from the Central Provident Fund of moneys standing to the credit of the Members; and

2)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from the Central Provident Fund of moneys standing to the credit of ______, holder of ID No. ______(the Chargor who has withdrawn from the purchase),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 Members 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)

REGISTERED PROPRIETOR

ID/Co Regn.
Name:
Address (within Singapore for service of notice):
DATE OF APPLICATION:

EXECUTION BY CHARGEE

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

CONSENT AND AGREEMENT BY CHARGOR

I, ______, the Member as a co-purchaser of the abovementioned land hereby:-
(a)irrevocably consent to all my estate or interest in the abovementioned land and all my rights, benefits and interests under the said Agreement being charged to the Chargee under section 21 of the CPF Act to secure repayment to the Chargee of all moneys withdrawn and/or to be withdrawn by the Member, ______from his/her account with the Chargee whether before, on and/or after the date of this Application together with all interest thereon as may be provided in the applicable CPF laws;
(b)irrevocably consent to all my estate or interest in the abovementioned land and all my rights, benefits and interests under the said Agreement 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 Chargor 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
(c)agree to observe, comply with and be bound by the terms and conditions set out in the said Memorandum.
Signature:
Witness:
I, ______, the Member as a co-purchaser of the abovementioned land hereby:-
(a)irrevocably consent to all my estate or interest in the abovementioned land and all my rights, benefits and interests under the said Agreement being charged to the Chargee under section 21 of the CPF Act to secure repayment to the Chargee of all moneys withdrawn and/or to be withdrawn by the Member, ______from his/her account with the Chargee whether before, on and/or after the date of this Application together with all interest thereon as may be provided in the applicable CPF laws;
(b)irrevocably consent to all my estate or interest in the abovementioned land and all my rights, benefits and interests under the said Agreement 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 Chargor 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
(c)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 CHARGOR 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:

1

ANC – 2 Owners/Members

S21/S27E (Escrow)

1.10.07 Edition