B..

Caveat Forbiddng Lands to be Brought Under the Act.

Take notice that I ____, of ____, claiming estate or interest [Here state the nature of the estate or interest claimed, and the grounds on which the claim is founded] in lands described as [Here state particulars of description from declaration of applicant], in notice dated the ____ day of ____, advertising the same as land in respect to which claim has been made to have the same brought under the provisions of "The Land Transfer Act, 1870," do hereby forbid the bringing of the said land under the provisions of the said Act.

Dated this ____ day of ____ 18 ____A.B.

Signed in my presence this day of ____

To the District Land Registrar of the District of ____

And I appoint ____ as the place at which notices relating hereto may he Berved.