FORM YY

Prepared by me

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CONVEYANCER

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(State full name and surname in block letters)

.........................................

(Disclose Legal Practice Council Membership Number)

Application in terms of section 16B of Act 47 of 1937

I, ......................................................................... hereby apply for the conversion of my right of leasehold in respect of ................................................................. held under TL. ………............. into ownership in terms of section 57A of Act 4 of 1984 by the endorsement of said title as contemplated in section 16B(1) of Act 47 of 1937 subject to the following conditions ...................................................................

Signed at .............................................................. on ...................... .

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Legal holder

Witnesses:

1.        .................................................................

2.        .................................................................

[Form YY substituted by section 4(a) of Notice No. R.884, GG43614, dated 14 August 2020]