APPLICATION FOR CONSENT TO DEAL WITH A CROWN LEASE

1. This form is to be used to apply for consent to deal with a Crown lease (e.g. mortgage, encumber, sublease, etc) pursuant to section 36 of the Crown Land Management Act 2009. It is best completed via a desktop with a modern browser.

2. Submission of this form requires payment of $495.00 (GST exempt) by MasterCard or Visa (please note application fees may not be refundable). Other application form and payment options are available.

3. One application fee is payable if multiple leases are being dealt with.

4. Please note that annual fees also apply for Crown land leases.

5. This form does not apply to pastoral leases managed under the Pastoral Land Management and Conservation Act 1989. Please refer to the Pastoral Unit.

6. Please contact DEWShacks@sa.gov.au regarding life tenure shack leases.

7. Consent is not required to place a mortgage over a perpetual lease, however consent is required to place a mortgage over a miscellaneous lease, including a shack lease.

8. It is highly recommended that you seek the assistance of a registered conveyancer or legal practitioner to complete your application.

9. On approval, a sublease is an exclusive right to occupy the land.

10. The information provided on this form may be used in accordance with the Government of South Australia's Information Privacy Principles. You are encouraged to read the Department for Environment and Water's Privacy Statement.

11. Please email the Crown Lands Program or phone 8429 7680 if you require any assistance.

Crown land and lease details

For information about how to obtain land details refer to South Australian property and planning atlas.

Title reference

Volume number

Folio number

Parcel type

Parcel number

Plan type

Plan number

Hundred name

Location (Suburb/Town)

Are there additional Crown land parcels? *

YesNo

Title reference

Volume number/Folio number

Land descriptionSection/Allotment, Plan type, Plan number

Lease number(s) *

Lease type *

PerpetualTerm

Lessee details

Please note - the names provided below must match the names recorded on the current lease.

Lessee type *

Title

First name *

Middle name(s)

Last name *

Legal/Business name *

ABN

ACN

Postal address *

Suburb/Town *

State *

Postcode *

Email *If no email address, please type no@email.com

Contact phone number *

Are there any other lessees? *

YesNo

Lessee type

Title

First name *

Middle name(s)

Last name *

Legal/Business name *

ABN

ACN

Postal address *

Suburb/Town *

State *

Postcode *

Email

Contact phone number *

Are there any other lessees? *

YesNo

Lessee type

Title

First name *

Middle name(s)

Last name *

Legal/Business name *

ABN

ACN

Postal address *

Suburb/Town *

State *

Postcode *

Email

Contact phone number *

Are there any other transferors? *

YesNo

Please complete an Additional applicants form and save it to your desktop/USB, etc. Click Browse below and locate the saved form to upload it to this application.

Additional applicants form upload

Browse

Dealing details

Dealing type *

MortgageEncumbranceSublease

An application is not required. Consent is not required to place a mortgage over a perpetual lease. Please contact the Crown Lands Program if you require further information.

Mortgagee business name *

Encumbrancee business name *

ABN

ACN

Postal address

Suburb/Town

State

Postcode

Email address

Contact phone number

Purpose of sublease *

Sublease start date *

Sublease end date *

Sublessee type *

Person(s)Business/organisation(s)

Legal/Business name *

Full name (First name, Middle name(s), Last name) *

Sublessee type *

Title

First name *

Middle name(s)

Last name *

Legal/Business name *

ABN

ACN

Postal address *

Suburb/Town *

State *

Postcode *

Email *If no email address, please type no@email.com

Contact phone number *

Are there any other sublessees? *

YesNo

Transferee type *

Title

First name *

Middle name(s)

Last name *

Legal/Business name *

ABN

ACN

Postal address *

Suburb/Town *

State *

Postcode *

EmailIf no email address, please type no@email.com

Contact phone number *

Are there any other transferees? *

YesNo

Transferee type *

Title

First name *

Middle name(s)

Last name *

Legal/Business name *

ABN

ACN

Postal address *

Suburb/Town *

State *

Postcode *

EmailIf no email address, please type no@email.com

Contact phone number *

Are there any other transferees? *

YesNo

Please complete an Additional applicants form and save it to your desktop/USB, etc. Click Browse below and locate the saved form to upload it to this application.

Additional applicants form upload

Browse

Proposed tenancy type *

Conveyancer/Legal Practitioner details

Are you a registered conveyancer/legal practitioner submitting this application on behalf of other parties and the point of contact for this application? *

Yes No

Have you engaged a conveyancer/legal practitioner to assist with this application? *

YesNo

Please provide details below.

Title

First name *

Middle name (s)

Last name *

Business name *

Email address *

Contact phone number *

Postal address *

Street address *

I have verified the identity of my clients *

Yes No

I confirm that all named lessees support this application *

YesNo

I confirm that I have the 'right to deal' for the other parties *

YesNoN/A

Additional details

Click Browse below to locate any documents on your desktop/USB, etc that you wish to upload to this application.

Browse

Please provide any other information relevant to this application

Declaration

Full name of person submitting form *

Email *

Date

•I declare that the information stated within this application is true and correct *

Payment details

Payment *

Receipt Number

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