Form 1 Preparation

Form 1 Preparation – Other

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

First NameMiddle NameLast Name
Mobile Number*
Please enter a valid phone number.Format: 0000 000 000.
Email*
example@example.com
Phone Number

Area CodePhone Number
Date of Birth*

DayMonthYear
Company Name
ACN
Yes, please upload a copy of the Signed and Dated Trust Deed including any variations (optional)No
Cancelof
Vendor(s) Full Name(s)

First NameMiddle NameLast Name
Email
example@example.com
Mobile Number
Please enter a valid phone number.Format: 0000 000 000.
Phone Number

Area CodePhone Number
Date of Birth

DayMonthYear
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.

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 when applicable.

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.

Torrens Freehold / Strata or Community Title	GST exclusive - where applicable
Form 1 Preparation	$420.00
Government Searches Applicable Property Interest Report (PIR) Council Search (each CT) Strata/Community Search Strata/Deposited/Filed/Community Plan* Community Plan, By-Laws, Scheme Description, Development Contract* Historical Record*	Billed by MO Olssen
TOTAL:	$420.00 ex GST

Form 1 Preparation – Other