FPC FORM 1 QUESTIONNAIRE

FOUR POINTS FORM 1 CO PTY LTD

2/50 KING WILLIAM ROAD GOODWOOD SA 5034 | ACN 160 157 344
VENDOR QUESTIONNAIRE AND AUTHORITY TO ACT
Vendor(s) Full Name(s)*

First NameLast Name
Date of Birth*

DayMonthYear
Email*
example@example.com
Phone Number*

Area CodePhone Number
Vendor(s) Full Name(s)

First NameLast Name
Date of Birth

DayMonthYear
Email
example@example.com
Phone Number

Area CodePhone Number
Sale Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Vendor Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agency*
Salesperson*
Salesperson Phone Number*

Area CodePhone Number
Salesperson Email*
example@example.com
The Vendor Questionnaire is required to be completed in full and signed by the Vendor for the Form 1 to be prepared and served on the prospective Purchaser. This is a legal requirement and any incorrect or undisclosed information may result in the Purchaser being able to terminate the contract and make you liable for a possible claim for damages.

Please ensure that the BUILDING INSURANCE on the property is maintained up to and including the settlement date for this property as applicable.

ACKNOWLEDGEMENT BY VENDOR(S)
I / We confirm that you are instructed to act as agent for me / us in the Preparation of the Form 1 statement pursuant to Section 7 of the Land and Business Sales & Conveyancing Act 1994 for the property described above. We confirm that we are the registered proprietors of the land and authorised to provide this authority to Four Points Form 1 Co Pty Ltd.

You are authorised and instructed to act s our agent to complete the necessary government searches required and complete the preparation of the Form 1 Statement pursuant to Section 7 of the Land & Business Sales & Conveyancing Act 1994. We further authorize and consent to you acting for and on behalf of our Real Estate Agent in executing Part D of the Form 1 Statement on their specific request.

I/We acknowledge that the preparation of documents is based on the information provided by me/us the Vendors of the Property and Government Searches and indemnify Four Points Form 1 Co Pty Ltd, its employees, agents and /or assigns against any claim made as a result of the failure of me/us to provide all required information relating to this property as requested by you or any error made with respect to the information provided by me/us at any time either now or in the future, at law or in equity. We hereby state that to the best of our knowledge information and belief the information provided is true and correct and any change to this information will be advised without delay to Four Points Form 1 Co Pty Ltd and our Agent.
Please select the correct Title for your property.*

Torrens FreeholdStrata TitleCommunity Title

Torrens Freehold / Strata or Community Title	GST inclusive - where applicable
Form 1 Preparation	Refer to Tax Invoice
Property Interest Report (PIR)	$402.60
Council Search (each CT)	$94.05
Strata/Community Search	$72.60 - $116.16
*Strata/Deposited/Filed/Community Plan	$15.07 per document
*Community Plan, By-Laws, Scheme Description, Development Contract	$15.51 per document
*Historical Record	$3.08
TOTAL:	Refer to Tax Invoice

* We authorise all necessary registered documents to be ordered and charged automatically

We understand that this service is a pre-paid service and agree to make payment in full on return of the completed documents and questionnaires. We understand that Four Points Form 1 Co Pty Ltd is under no obligation to commence the required government searches and the preparation of Form 1 Statements until payment has been received in full.
Vendor's Signature*

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Vendor's Signature

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Date*

DayMonthYear
Date

DayMonthYear
Please verify that you are human*
JotSign Email Recipient
example@example.com
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FOUR POINTS FORM 1 CO PTY LTD

VENDOR QUESTIONNAIRE AND AUTHORITY TO ACT

GOODS AND SERVICES TAX

MORTGAGES, CHARGES and PRESCRIBED ENCUMBRANCES

DEVELOPMENT ACT

ALUMINIUM COMPOSITE PANELLING

PARTICULARS RELATING TO ENVIRONMENT PROTECTION

DRUG AND METHAMPHETAMINE QUESTIONS

STRATA & COMMUNITY TITLES

OTHER MATTERS AFFECTING THE LAND

SMOKE ALARMS – HARD WIRED OR LITHIUM BATTERY

ACKNOWLEDGEMENT BY VENDOR(S)

Torrens Freehold / Strata or Community Title

GST inclusive - where applicable