Full Discharge Authority Form About this form Please complete this form in CAPITAL LETTERS to release all mortgaged properties and pay out your loan in full. Please call 13 35 35 if you have any questions regarding this form. Delays in discharge (settlement) may occur if all fields on this form are not completed or completed incorrectly. If you are requesting a release of only one of two (or more) mortgaged properties, please contact us on 13 35 35 regarding a partial discharge. If applicable, fees will be charged per your Loan Contract and General Terms and Conditions. 01. Borrower details Loan account number You will find your loan account number on your statement of account You Borrower 2 - if applicable Your full name Their full name As shown on your passport As shown on their passport Mobile number Mobile number Current residential address Street address Suburb State Postcode Postal address after discharge Same as residential address Street address Suburb State Postcode ATHENA MORTGAGE PTY LTD / ABN 24 619 536 506 / AUSTRALIAN CREDIT LICENCE 502611 1 /3 www.athena.com.au Full Discharge Authority Form 02. Property details of the mortgaged property you are discharging Mortgaged street address Suburb State Postcode Expected discharge date If you require settlement on a specified date, please book this in at least 10 business days prior 03. Reason for discharge Select one Property Sale Sale price $ Refinance. Please select an option below Moving to a better rate Borrow more than 70%-80% LVR More product features Other - Please explain reason below Early payout. Please explain reason below Other. Please explain reason below ATHENA MORTGAGE PTY LTD / ABN 24 619 536 506 / AUSTRALIAN CREDIT LICENCE 502611 2 /3 www.athena.com.au Full Discharge Authority Form Please select one of the two options below authorising either your financial institution or your solicitor/conveyancer to act on your behalf. Your Financial Institution details Your Solicitor/Conveyancer details I/We authorise my/our financial institution to act on my/ I/We authorise my/our solicitor/conveyencer our behalf representative to act on my/our behalf Financial Institution name Business name Contact name Contact name Email Email Phone number Phone number Borrower’s authority and declaration (ALL borrowers must sign this declaration) I authorise information required about my loan and mortgaged property be provided to my solicitor / conveyancer, including the amount required to payout the loan and to provide a discharge for the mortgaged property. I authorise all deeds and documents connected with this form to be handed to my solicitor / conveyancer when discharge (settlement) is effected. I agree to pay all monies due under the loan and fees applicable in accordance with the Loan Contract and General Terms and Conditions. I have read the explanatory notes on this form and wish to discharge the mortgaged property in accordance with my instructions above. Borrower 1 signature Date signed Borrower 2 signature Date signed ATHENA MORTGAGE PTY LTD / ABN 24 619 536 506 / AUSTRALIAN CREDIT LICENCE 502611 3 /3 www.athena.com.au
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