Declaration For Residential Off The Plan Purchase Agreement Form

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ACT REVENUE OFFICE
Lodgment No
PO Box 293 Civic Square ACT 2608
Phone:
(02) 6207 0028
Fax:
(02) 6207 0026
Website:
Declaration for Residential ‘Off the Plan’ Purchase Agreement
Form
NOTE:
This form must be completed and lodged with a completed Conveyance Lodgment Form (and
relevant documents) for stamping a residential ‘off the plan’ purchase agreement under
section 16A of the Duties Act 1999.
Print clearly in the boxed spaces and tick the appropriate box
Date of
Names of Parties
First
Execution
Transferor
Transferee
Suburb
Section
Block
Unit
I am lodging this form because:
/
/
the agreement was completed on
Date
the whole, or any part, of the tranferee’s
/
/
interest under the agreement was assigned on
Date
the period of 12 months, beginning from the
/
/
date of the agreement expired on
Date
a Certificate of Occupancy for the building
to which the agreement relates was issued
/
/
under the relevant ACT legislation on
Date
I wish to lodge the documents on a date prior to
any of the above events occurring.
Date
/
/
DECLARATION
I ……………………………………………………………….…of…………………………………………………………………………
being the transferee/transferee’s authorised agent (delete whichever is not applicable) declare that the above
information is, to the best of my knowledge, true and correct and in conformity with the agreement between
the parties.
Signed ____________________________________
Date
GIVING FALSE OR MISLEADING INFORMATION IS A SERIOUS OFFENCE (Section 338 Criminal Code 2002)
This form is Approved form AF2006-2 under section 139C of the Taxation Administration Act 1999
Authorised by the ACT Parliamentary Counsel—also accessible at

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