Seller Disclosure Questionnaire - Baker Jorgensen Lawyers

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Property Details

Property Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What is the zoning of the property?

If unsure, please leave blank

Seller Details

Registered Owner/s on Title (Full name)

If a Company or Trust (Company Name)

Director/s Full Name/s

Seller 1 Contact Details

Email Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Seller 2 Contact Details

Email Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

ENCUMBRANCES AND INTERESTS

Are you aware of any statutory encumbrances that affect the property?(Required)

Yes

Please specify:

Has the property been subject to a residential tenancy agreement during the last 12 months?(Required)

Yes

Is the property subject to an unregistered or commercial lease?(Required)

Yes

Please provide us with a copy of the Lease

Max. file size: 128 MB.

What is the current amount of rent payable?

What is the bond payable?

Are there any options to renew?(Required)

Yes

What was the date of the last rent increase?

Please provide us with a copy of the Residential Tenancy Agreement

Max. file size: 128 MB.

Are there any other unregistered encumbrances, including oral agreements relating to the property?(Required)

Yes

Please provide details

Are there any other unregistered interests?(Required)

Yes

Please provide details:

Please provide us with copies of any applicable documents.

Drop files here or

Max. file size: 128 MB, Max. files: 10.

HERITAGE LISTING, CONTAMINATED LAND, DEPARTMENT OF MAIN ROADS AND TREE ORDERS

Is the Property heritage listed or subject to a heritage agreement at either a Local, State or Commonwealth level?(Required)

Yes

Please provide details

Is the property affected by any transport infrastructure proposal?(Required)

Yes

Please provide a copy of any notice you have received.

Max. file size: 128 MB.

For example, notice of intention to resume part of property

Is the property recorded on the Environmental Management Register or Contaminated Land Register?(Required)

Yes

Please provide details:

Are there any tree or fence orders affecting the property?(Required)

Yes

If yes, please provide a copy of the application or order.

Max. file size: 128 MB.

SWIMMING POOL or SPA

Is there a swimming pool or spa?(Required)

Yes

(this includes a shared swimming pool in a complex)

Please provide us with the Form 23 Pool Safety Certificate (If Available)

Max. file size: 128 MB.

NOTICES AND ORDERS

Has any building work been carried out under an owner builder permit in the last 6 years?(Required)

Yes

Please advise details of the building work...

Please advise details of the name of the person who performed the work.

Are there any unsatisfied show cause notices or enforcement notices issued in relation to the property?(Required)

Yes

Please provide us with a copy of the relevant notices.

Drop files here or

Max. file size: 128 MB.

COMMUNITY TITLES SCHEME

Is the property part of a Community Titles Scheme?

Yes

Current Water Bill (Upload)

Max. file size: 128 MB.

Body Corporate Levy Notice (If Applicable) (Upload)

Max. file size: 128 MB.

Current Rates Notice (Upload)

Max. file size: 128 MB.

For Duplex's please upload the following documents

Certificate of Currency of insurance

Max. file size: 128 MB.

Current insurance tax invoice

Max. file size: 128 MB.

ACKNOWLEDGEMENT BY SELLER

I aknowledge to all of the below

I/We declare that the information provided above is true and correct to the best of my/our knowledge.

I/We acknowledge that the information contained in the Seller Disclosure Statement prepared by Baker Jorgensen Lawyers will be based on details provided by me/us.

It is our responsibility to ensure that information disclosed is accurate, complete, and not misleading.

Signature(s):

Date:

Untitled

Seller Disclosure
Questionnaire

Before you begin

Property Details

Seller Details

ENCUMBRANCES AND INTERESTS

HERITAGE LISTING, CONTAMINATED LAND, DEPARTMENT OF MAIN ROADS AND TREE ORDERS

SWIMMING POOL or SPA

NOTICES AND ORDERS

COMMUNITY TITLES SCHEME

For Duplex's please upload the following documents

Need help completing the questionnaire?