PURCHASER QUESTIONNAIRE

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

DayMonthYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Format: 0000 000 000.
Email
example@example.com
Were you born in Australia?
If answered No, please specify your Country of birth:
Are you an Australian Citizen?
Are you a first home buyer?
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?
Have you previously received the FHOG in any other state or territory of Australia?
Do you have a spouse/partner that is not listed as a transferee in the contract to purchase this property?
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Personal Information Purchaser 2
Full Name
Gender:
Have you ever been known by another name. Please specify
Date of birth

DayMonthYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Format: 0000 000 000.
Email
example@example.com
Were you born in Australia?
If answered No, please specify your Country of birth:
Are you an Australian Citizen?
If answered NO, you will need to provide a copy of your residency permit/VISA and Passport.
Are you a first home buyer?
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?
Have you previously received the FHOG in any other state or territory of Australia?
Do you have a spouse/partner that is not listed as a transferee in the contract to purchase this property?
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General Information
Property Type
Are you moving into the house?
Is this your Principal Place of Residence?
Are you going to be Joint Tenants or Tenants in Common?
If Tenants in Common please advise the shares of each party
Are you applying for the First Home Owner Grant (FHOG)?
Are you eligible for Duty Concession or any other Concessions?
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?
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:

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PURCHASER QUESTIONNAIRE

Personal Information Purchaser 1

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Personal Information Purchaser 2

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General Information