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:
MaleFemale
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
YesNo
If answered No, please specify your Country of birth:
YesNo
YesNo
YesNo
YesNo
YesNo
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Personal Information Purchaser 2
Full Name
MaleFemale
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
YesNo
If answered No, please specify your Country of birth:
YesNo
If answered NO, you will need to provide a copy of your residency permit/VISA and Passport.
YesNo
YesNo
YesNo
YesNo
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General Information
Established HomeNew Homeor Vacant land
YesNo
YesNo
Joint TenantsTenants in Common
If Tenants in Common please advise the shares of each party
YesNo
YesNo
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:

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PURCHASER QUESTIONNAIRE

Personal Information Purchaser 1

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Personal Information Purchaser 2

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General Information