Land and Resources Tribunal Queensland	Form 3 (Rule 4)	(Tribunal Use Only) Registry: File No:                 /
RESPONSE If insufficient space, use separate numbered sheets. Sheets attached ().

Applicant(s)

AND

Respondent(s)

Particulars of Respondent(s)
Name
(If a company or firm, include correct trading name and ACN)
Address
	Postcode
	Is this your address for service?  click to choose:   /
Name of lawyer and firm, or agent
(If applicable)
Business address
(If applicable)
	Postcode
	Is this your address for service?  click to choose:   /
Address for service
(If none of the above)
	Postcode

Telephone:

Facsimile:

Email:

DX:

Response to claim	The respondent disputes the following parts of the application: And also relies on the following facts in response to the claim:
(Briefly describe your response to the claim made in the application.
Orders sought
(Briefly describe the orders that you want)
Signature of applicant / lawyer / agent	Filed by:
	Signature Date //

Hearing & filing details	A directions hearing  This application   will be heard by the tribunal on:
(Tribunal use only)	Date   Time
	Place
	Filed in the   registry on   /      /
	Registrar's Signature Seal