Letter of Appointment

Letter of Appointment

Please ensure this form is signed by ALL owners as listed on title.
Owner(s) Consent
I/We, *, being owner/s of the property at * ,
understand that I/we can appoint a building surveyor of our choosing (in accordance with Section 78 Building Act 1993).
Please confirm the following:
Please provide a statement of use for the proposed building/works:
Signature Owner 1
Signature Owner 2 (if applicable)
Name Owner 1

First NameLast Name
Name Owner 2 (if applicable)

First NameLast Name
Date:

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty: