Appointment of Agent Form
This form allows you to appoint a person as an agent (Agent) to bid on a block and execute and exchange a
Contract for Sale on your behalf.
AUCTION DETAILS
Land:
Mt Majura Estate
Auction Date:
4 March 2017
You must complete all required sections of this form for an agent to participate in the Auction on your behalf.
1. REGISTRATION DETAILS
Full Name/s:
Address/es:
2. APPOINTMENT OF AGENT
Hereby appoint: ………………………………………(name) of ………………………………….…………(address)
The Registrant(s) appoint the Agent as my/our Agent to bid on a block and to execute a Contract for Sale for that block. I/We agree to be liable for
all actions of the Agent including in respect of any decisions by the Agent during the Auction, any subsequent execution and exchange of a
Contract for Sale by the Agent and to indemnify C7 Developments Pty Ltd in relation to any loss or damage as a result of the actions of the Agent.
Signature of Registrant 1: ________________________________
Date: ________________
Name: _______________________________________________
Signature of Registrant 2: ________________________________
Date: ________________
Name: _______________________________________________
I agree to accept my appointment as Agent of the Registrant(s)
Signature of Agent: _____________________________________
Date: ________________
Name: _______________________________________________
NOTES
 The full name(s) and address(es) of the Registrant(s) and the Agent must be inserted.
 A photocopy of the identification of the Registrant(s) and Agent must be submitted with the Appointment of Agent Form.
 Original identification must be available for checking at the Auction.
 All Registrants must sign the Appointment of Agent Form, Registrants signing on behalf of a company are required to state their position in the
company (Director, Company Secretary, etc). The number of authorised signatories required in accordance with the constitution of the company
must sign the Appointment of Agent Form.
 The Agent must sign the Appointment of Agent Form.
Office Use Only
Driver’s Licence sighted
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Other identification sighted
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