PURCHASER QUESTIONNAIRE

PURCHASER QUESTIONNAIRE
Ph: 0402 588 339 Email: bovas@bjohannan.com.au Office: office@bjohannan.com.au

Key information can be found at the State Revenue Office website.

Please Note That This PDF Contains Form Fields That Are Editable Natively On Any Chromium Based Web Browser Eg. Chrome Or Edge.
Personal Information Purchaser 1
Full Name
Gender

MaleFemale
Have you ever been known by another name. Please specify
Date of birth

DayMonthYear
Date
Your Current address
Phone
Email
example@example.com
Were you born in Australia?

YesNo
If answered No, please specify your Country of birth
Are you an Australian citizen?

YesNo
Are you a first home buyer?

YesNo
Have you occupied a residential property for a continuous period for at least six months in which you acquired a relevant interest on or after 1 July 2000?

YesNo
Have you previously received the FHOG in any other state or territory of Australia?

YesNo
Do you have a spouse/partner that is not listed as a transferee in the contract to purchase this property?

YesNo
2 / 3
Personal Information Purchaser 2
Full Name
Full Name

MaleFemale
Have you ever been known by another name. Please specify
Date of birth

DayMonthYear
Date
Your Current address
Phone
Email
example@example.com
Were you born in Australia?

YesNo
If answered No, please specify your Country of birth
Are you an Australian Citizen?

YesNo
Are you a first home buyer?

YesNo
Have you occupied a residential property for a continuous period for at least six months in which you acquired a relevant interest on or after 1 July 2000?

YesNo
Have you previously received the FHOG in any other state or territory of Australia?

YesNo
Do you have a spouse/partner that is not listed as a transferee in the contract to purchase this property?

YesNo
3 / 3
General Information
Property Type

Established HomeNew Homeor Vacant land
Are you moving into the house?

YesNo
Is this your Principal Place of Residence?

YesNo
Are you going to be Joint Tenants or Tenants in Common?

Joint TenantsTenants in Common
If Tenants in Common please advise the shares of each party
Are you applying for the First Home Owner Grant (FHOG)?

YesNo
Are you eligible for Duty Concession or any other Concessions?

YesNo
Do you commit to moving into the home within 12 months of settlement and living in it as your principal place of residence for at least a year?

YesNo
Note: You must notify the Commissioner of State Revenue in writing within 30 days of becoming aware of any circumstance that may result in the above residence requirement not being complied with.
Any Additional Information
Should be Empty:

PURCHASER QUESTIONNAIRE

Personal Information Purchaser 1

2 / 3

Personal Information Purchaser 2

3 / 3

General Information