NOMINATION REQUEST

NOMINATION REQUEST

Submit your purchaser-side nomination details to Victorian Property Settlements for processing.
Contract Details
Sale property address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Purchaser(s) named in Contract

First NameMiddle NameLast Name
Contract date

MonthDayYear
Date
Settlement date

MonthDayYear
Date
Off-the-plan?
Vendor

First NameMiddle NameLast Name
Purchase price
Requester
Role
Your Name

First NameMiddle NameLast Name
Email
example@example.com
Firm
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Original Purchaser
Original purchaser(s)
If there is more than one original purchaser, add each purchaser as a separate row.
ACN
Trustee name
Trust name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Proposed Nominee
Number of nominees
Nominee 1 legal name for transfer

First NameMiddle NameLast Name
Nominee 1 entity type
Nominee 1 address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Nominee 1 ACN
Nominee 1 registered address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Nominee 1 trustee or trust details
Nominee 1 email
example@example.com
Nominee 1 phone
Please enter a valid phone number.Format: (000) 000-0000.
Nominee 1 percentage interest
Nominee 1 foreign purchaser, corporation or trust for Victorian duty purposes
Relationship
Is the proposed nominee related or associated with the original purchaser?
Relationship type
Please explain the relationship or association
Nomination / Transfer Right
Date transfer right obtained / intended to be obtained

MonthDayYear
Date
Has a nomination / assignment / deed / option / novation / other agreement already been signed?
Date signed

MonthDayYear
Date
Upload signed agreement

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Is this the first nomination?
Earlier nomination / assignment details
Consideration
Has the nominee or anyone acting for the nominee paid or agreed to pay anything to obtain the nomination or transfer right, other than taking over the Contract obligations?
Total amount or value paid or agreed to be paid
Who was paid or is to be paid?
What was the payment or agreement for?
Is any deposit reimbursement being claimed?
Deposit reimbursement amount
Is any reimbursement claimed for legal, survey, valuation, or selling costs?
Provide details of the legal, survey, valuation, or selling cost reimbursement
Is there any non-cash benefit, nomination fee, premium, profit, or other benefit provided or expected?
Land Development Since Contract
Land development may include planning or building permit activity, subdivision, building or refurbishment work, demolition, design, surveying, or other development steps undertaken after the Contract date and before nomination.
Has any land development occurred since the Contract date and before nomination?
If yes or unsure, what land development steps have occurred?

Other
Describe the land development activity and any relevant details
Who arranged or carried out the land development activity?
Date land development commenced, if known

MonthDayYear
Date
Upload supporting documents for the land development activity

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Building / Parallel Arrangement
Has the nominee or an associate entered into, agreed to enter into, or discussed a building contract or other connected arrangement with the original purchaser or an associate?
Builder / party involved
Description of arrangement
Date

MonthDayYear
Date
Value
Finance / Settlement
Has nominee finance been arranged or applied for?
Has the lender been informed that the nominee differs from the Contract purchaser?
Is a settlement date change also requested?
Duty / Digital Duties
Has the representative considered whether the nomination must be disclosed in the Victorian Digital Duties Form?
Has advice been obtained regarding possible additional duty under Part 4A Chapter 2 of the Duties Act 2000 (Vic), sections 32A–32X?
Is an SRO private ruling or complex Duties Online assessment being considered?
Supporting Documents
Upload the nomination, assignment, or deed document
Upload corporate or trust information

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Upload evidence of consideration or reimbursements

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Upload planning, building, or development documents

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Upload any other relevant supporting material

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Other Contract Matters
Does the nomination require any other contract or settlement changes?
Please provide details of the other contract or settlement changes
Are there any other outstanding contract conditions?
Please provide details of the outstanding contract conditions
Declaration
Declaration acknowledgements
Full name

First NameMiddle NameLast Name
Date

MonthDayYear
Date
Signature
Should be Empty:

NOMINATION REQUEST

Contract Details

Requester

Original Purchaser

Proposed Nominee

Relationship

Nomination / Transfer Right

Consideration

Land Development Since Contract

Building / Parallel Arrangement

Finance / Settlement

Duty / Digital Duties

Supporting Documents

Other Contract Matters

Declaration