Seller Disclosure Statement
For Internal Use Only
There are encumbrances not registered on the title that will continue to affect the property after settlement.
Yes
No
Other unregistered agreement in writing (if applicable)
If the unregistered encumbrance is created by an agreement in writing, and is not an unregistered lease, a copy of the agreement is given, together with relevant plans, if any.
Yes
Does the lease has an option to renew
Yes
No
Renewable?
Unregistered oral agreement (if applicable)
If the unregistered encumbrance is created by an oral agreement, and is not an unregistered lease, the details of the agreement are as follows:
The zoning of the property is
Insert zoning under the planning scheme, the Economic Development Act 2012; the Integrated Resort Development Act 1987; the Mixed Use Development Act 199; the State Development and Public Works Organisation Act 1971 or the Sanctuary Cove Resort Act 1985, as applicable.
If a community titles scheme or a BUGTA scheme – a shared pool is located in the scheme
Yes
No
Notice of no pool safety certificate is given.
Yes
No
The seller has been given a notice or order, that remains in effect, from a local, State or Commonwealth government, a court or tribunal, or other competent authority, requiring work to be done or money to be spent in relation to the property
Yes
No
The property is currently a rates exempt lot.
Yes
The property is not rates exempt but no separate assessment of rates is issued by a local government for the property.
Yes
The property is included in a BUGTA scheme
Yes
No
A copy of a body corporate certificate for the lot under the Building Units and Group Titles Act 1980, section 40AA(1) is given to the buyer.
Yes
No
Explain the reasons under section 7 of the Property Law Regulation 2024 why the seller has not been able to obtain a copy of the body corporate certificate for the lot.
Signature of Seller
Name of Seller
Date
/
Month
/
Day
Year
Signature of Buyer
Name of Buyer
Date
/
Day
/
Month
Year
Part 1 – Seller and Property Details
Type of Property
*
Residential
Commercial
Please contact us directly for commercial property disclosures.
Full Property Address
*
Street Address
Street Address Line 2
Suburb
Lot and Plan Number
Postcode
Seller 1
Seller Type
*
Individual
Company
Full Legal Name
*
First Name
Middle Name
Last Name
Phone Number
*
Format: 0000 000 000.
Email Address
*
Use property address as the residential address
Yes
Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company’s Full Legal Name
*
Company Phone Number
*
Format: 0000 000 000.
Company Email address
*
ABN/ACN Number
Use property address as registered company address
Yes
Registered Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Add another seller?
Yes
Seller 2
Seller Type
*
Individual
Company
Full Legal Name
First Name
Middle Name
Last Name
Phone Number
Format: 0000 000 000.
Email Address
Residential Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company’s Full Legal Name
Company Phone Number
Format: 0000 000 000.
Company Email address
ABN/ACN Number
Registered Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Add another seller?
Yes
Seller 3
Seller Type
*
Individual
Company
Full Legal Name
First Name
Middle Name
Last Name
Phone Number
Format: 0000 000 000.
Email Address
Residential Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company’s Full Legal Name
Company Phone Number
Format: 0000 000 000.
Company Email address
ABN/ACN Number
Registered Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Add another seller?
Yes
Seller 4
Seller Type
*
Individual
Company
Full Legal Name
First Name
Middle Name
Last Name
Phone Number
Format: 0000 000 000.
Email Address
Residential Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company’s Full Legal Name
Company Phone Number
Format: 0000 000 000.
Company Email address
ABN/ACN Number
Registered Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Trust/Estate Ownership
Is the property owned by a Trust or Estate?
*
Yes
No
Full Name of Trust/Estate
Does the Trust/Estate have an ABN/ACN?
*
Yes
No
ABN/ACN Number
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Part 2 – Title Details, Encumbrances & Tenancy Agreements
What is the current occupancy status of the property?
*
Owner-occupied
Tenanted
Current Weekly Rent
*
Amount of Bond Held
*
Lease Start Date
*
/
Day
/
Month
Year
Lease End Date
*
/
Day
/
Month
Year
Date the rent was last increased
*
/
Day
/
Month
Year
Enter Lease Start Date if no rent increase has occurred with current tenant
Dash (-)
per week
bond payment
Are there known easements, covenants, restrictions, or unregistered agreements affecting the property?
*
Yes
No
Select all of the following that affect the property
*
Easements
Covenants
Restrictions
Sewer or stormwater lines traversing property
Other
Chosen Statutory Encumbrances
Statutory Encumbrances Text
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Part 3 – Land Use, Planning & Environment
Has the property been affected by transport infrastructure notices or resumptions (government acquisitions)?
*
Yes
No
Details of transport infrastructure notice or resumption
Is the property listed on Environmental Management Register or Contaminated Land Register?
*
Yes
No
Details of Register Listing
Have environmental protection notices been issued (e.g., clean-up orders)?
*
Yes
No
Details of environmental protection notices issued
Are there any tree orders or tree-related applications affecting the property?
*
Yes
No
Details of tree orders or related applications
Is the property heritage-listed (Queensland or World Heritage)?
*
Yes
No
Details of heritage listing
Has the property received any other notices from courts or government departments?
*
Yes
No
Details of other court or government notices
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Part 4 – Buildings & Structures
Does the property have a swimming pool?
*
Yes
No
Do you have a current pool compliance certificate?
*
Yes
No
Is the pool shared with a community scheme?
*
Yes
No
Has building work been completed under an Owner-builder Permit obtained through the QBCC within last 6 years?
*
Yes
No
Owner-builder Permit Work Details and Completion Dates
Are there notices/orders relating to building compliance or town planning from Council or Government?
*
Yes
No
Upload notices or orders relating to building compliance or town planning from Council or Government
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Part 5 – Rates & Services
Council Rates
Current amount
*
Rates Billing Period
*
Quarterly
Bi-annually
Yearly
Dash
Water Service Charges (fixed costs only, NOT usage charges)
Do you receive a separate water-service notice?
*
Yes – I receive a notice
No – I’ll estimate below
Amount
*
e.g. Gold Coast Council typically $2.82/day
Water Charges Billing Period
*
Quarterly
Bi-annually
Yearly
Dash
Estimated Amount
*
Dash
Estimated Period
*
Quarterly
Bi-annually
Yearly
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Part 6 – Community Titles & BUGTA Schemes
Is the property part of a Duplex or a Body Corporate (including self-managed or inactive schemes)?
*
Yes
No
Is the Body Corporate operational with a manager and sinking fund, allowing a information certificate to be ordered?
*
Yes
No
Name of Body Corporate
Name of Body Corporate Manager
Phone Number of Body Corporate Manager
Format: 0000 000 000.
Email of Body Corporate Manager
Enter Community Management Statement (CMS) or Community Titles Scheme (CTS) Number
*
Select the reason why the Body Corporate is not operational
Duplex/Small Scheme with only Shared Insurance with No Body Corporate Manager Engaged
The Body Corporate does not have records to prepare a body corporate certificate
Other reason
Dash
Estimated Body Corporate Fee
Body Corporate Fee Billing Period
Quarterly
Bi-annually
Yearly
Estimated Insurance Amount ($)
*
Insurance Billing Period
*
Quarterly
Bi-annually
Yearly
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Additional Information
Are there any other matters or issues that require disclosure?
*
Yes
No
Details of other matters requiring disclosure
Do you have a real estate agent?
*
Yes
No
Real Estate Agent's Full Name
*
First Name
Middle Name
Last Name
Real Estate Agent's Phone Number
*
Format: 0000 000 000.
Real Estate Agent's Email
*
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Client Declaration
I confirm the information provided is true and correct to the best of my knowledge.
I authorise Greenmount Legal to obtain required searches and prepare Form 2 Seller Disclosure Statement on my behalf.
I acknowledge Greenmount Legal is not providing legal advice and is solely facilitating the preparation of the prescribed Form 2 based on information I provided.
Client Declaration
*
I have read and agree to the above declarations.
Amount (Hidden)
Payment Amount
Payment code (if applicable)
To be left empty if you do not have a payment code
Payment Amount
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Seller Disclosure Statement
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First Name
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Credit Card Number
Security Code
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