QUESTIONNAIRE

Name *

Please include all Given Names in the "First Name" field.

First Name

Last Name

What is your Date of Birth? *

MM

DD

YYYY

Your Residential/Business Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is the property you're selling owned under a Company Name? *

Yes

No

Is the property you're selling owner occupied? *

Yes

No

If the property is NOT owner occupied, is it currently being rented? *

If the property is owner occupied, select "N/A"

Yes

No

N/A

Is the property Strata? *

Yes

No

Is there a mortgage owing? *

Yes

No

Will you be overseas or interstate at any time before settlement? *

Yes

No

Are you an Australian Citizen? *

Yes

No

Is Australia your Country of Tax Residence? *

Yes

No

Have you lodged an Australian Tax Return for the last two years?

Yes

No

Are you holding property on behalf of a foreign resident or on behalf of other entities that include a foreign resident?

Yes

No