ATHENA MORTGAGE PTY LTD / ABN 24 619 536 506 / AUSTRALIAN CREDIT LICENCE 502611 www.athena.com.au 1 / 3 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. Loan account number Borrower details Current residential address Postal address after discharge 01. Borrower 2 - if applicable Their full name As shown on their passport Mobile number You Your full name As shown on your passport You will find your loan account number on your statement of account Mobile number Suburb Suburb State State Postcode Postcode Street address Street address Same as residential address ATHENA MORTGAGE PTY LTD / ABN 24 619 536 506 / AUSTRALIAN CREDIT LICENCE 502611 www.athena.com.au 2 / 3 Property details of the mortgaged property you are discharging Reason for discharge 02. 03. Full Discharge Authority Form Suburb State Expected discharge date Postcode Mortgaged street address If you require settlement on a specified date, please book this in at least 10 business days prior Select one Property Sale 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 Sale price $ ATHENA MORTGAGE PTY LTD / ABN 24 619 536 506 / AUSTRALIAN CREDIT LICENCE 502611 www.athena.com.au 3 / 3 Your Financial Institution details Borrower’s authority and declaration (ALL borrowers must sign this declaration) Your Solicitor/Conveyancer details Full Discharge Authority Form Contact name Contact name Financial Institution name Business name Email Email Phone number Date signed Date signed Phone number I/We authorise my/our financial institution to act on my/ our behalf I/We authorise my/our solicitor/conveyencer representative to act on my/our behalf Please select one of the two options below authorising either your financial institution or your solicitor/conveyancer to act on your behalf. 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 Borrower 2 signature