DEPARTMENT OF TREASURY 

ACT REVENUE OFFICE
PO Box 293
Civic Square ACT 2608	Duties Act 1999

HOME BUYER CONCESSION
APPLICATION FORM 
FOR TRANSACTIONS BETWEEN 6 MAY 2008 AND 30 JUNE 2008

Important
•	The ACT Revenue Office must receive an application by the date the duty is payable.  
•	Duty is payable within 90 days (or up to 12 months, plus 14 days, for an ‘Off the plan’ purchase) from the date of the grant, transfer or agreement to transfer (whichever is first).  
•	

To help determine if you qualify for a duty concession, please provide all details requested and tick the appropriate boxes.
•	Wherever you see the following symbol documents may need to be attached.                                                                
•	Incomplete applications or those lacking required supporting information may result in the concession being denied. 
•	If there are more than two applicants, please complete and attach a second application form.
•	Applying for a concession does not stop interest being applied if payment of the required duty is made after the due date.

Section 1.	Applicant Details	
Name of grantee/transferee	Marital Status	Name of domestic partner (if any)	

Nominated Contact - Name	Telephone (daytime)	Postal Address	

                                                                    
                                                         Postcode:	
	Email Address		
			
Section 2. 	Property Details	
Suburb	Section	Block	Unit	Purchase price 	Market value 	
				$	$	

Street Address		
Related parties - If the buyer and seller are related parties please attach a qualified valuer’s report to substantiate the current market value of the property. 	

   ___/___/___

Is the property vacant land?            YES              NO                     Date of grant/transfer or 
                                                                                                         agreement for transfer 

%

                                                                                                         (whichever is first):
What % of the property                     Are all grantees and transferees together, acquiring    YES           NO
is being purchased                             both the legal and beneficial interest in the property? 

Attach your original document for stamping. 								          	
Section 3.	Other Interests in Land	
At the date of the transaction (in Section 2), do any grantees/transferees or their domestic partners
alone or jointly, hold a legal or equitable interest in land other than the subject property?	   YES               NO

Have any of the grantees/ transferees or their domestic partners, either alone or jointly with        YES               NO
another person/s, held a legal or equitable interest in land other than the subject property during 
the two years preceding the date of the transaction (in Section 2), of the subject property?

If you answered YES to either question above, were you required to relinquish your interest        YES               NO
by an order of a court; or a financial agreement; or a domestic relationship agreement as a 

consequence of a termination of a relationship between domestic partners?                  
 
If YES attach a copy of the court order or agreement. 	
Section 4.	Dependent Children	
First Name and Surname	Age	First Name and Surname	Age	

				

A ‘dependent child’ has the same meaning as in the Social Security Act 1991 (Cth).
If you have dependent children and wish to claim a combined total income between $120,000 and $136,650 (see Section 5),
you MUST attach a certified copy of the youngest child’s birth certificate.	

Section 5.	Income Details	
The following statement is to be completed and signed by each applicant and domestic partner.  You must list all income from all sources received during the 12 months prior to the date of the transaction declared in Section 2.  *Non-assessable Eligible Termination Payments (ETP), such as those made for years of service under a bona fide redundancy package, are excluded.	
Income Details for Applicant 1	
Type of income 
(eg: wages, pensions, allowances, profits etc)	Name of employer
	Income received during the 12 months prior to the date of the transaction in Section 2.	
Wages		$	
Pensions		$	
Allowances		$	
Interest/dividends		$	
Other		$	
Less non-assessable ETP*		- $	
Total 	$	
Income Details for Applicant 2 or domestic partner    N.B.   Use an additional form if there is income from a third person  	
Type of income 
(eg: wages, pensions, allowances, profits etc)	Name of employer
	Income received during the 12 months prior to the date of the transaction in Section 2.	
Wages		$	
Pensions		$	
Allowances		$	
Interest/dividends		$	
Other		$	
Less non-assessable ETP*		- $	
Total 	$	
Total Income for all Applicants and domestic partners 	Office use only    $    	
Applicant 1	$	
Applicant 2	$	
For the 12 months before the transaction the total income from all sources was	$	

To substantiate your income details, each applicant and domestic partner should provide the following (or a reason for not providing these documents):
•	evidence of total income for 12 months prior to date of transaction in Section 2;
•	a copy of the last income tax return prior to the date of the transaction in Section 2; 
•	a copy of your loan application; and
•	if you are self-employed, a copy of all Business Activity Statements (BAS) for the 12-month period prior to the date of transaction in Section 2.	
Section 6. 	Declaration and Undertaking	
I/We declare that: 
•	all applicants are over 18 years of age and at least one applicant will reside in the home as their principal place of residence for a continuous period of 6 months and such period is to commence within 12 months of:
-	completion of the eligible transaction for an eligible property; or
-	the date of the Certificate of Occupancy and Use following completion of construction of the residence on the eligible vacant block;
•	all of the information in this application, and in any supporting documentation, is true and correct and that to the best of my/our knowledge, no information relevant to the consideration of my/our application has been omitted; and
•	the income details provided are an indication of my/our usual income.
I/we understand that:
•	in the event that I am/we are granted a concession, the Commissioner for ACT Revenue may issue an amended assessment if it is subsequently determined that I/we did not meet the relevant criteria for the level of concession granted (such as not meeting the residency requirements); 
•	depending on the circumstances, interest may be applied to any resultant underpayment of duty; and
•	giving false or misleading information is a serious offence	
Signature of all Applicants
N.B.   All grantees/transferees                     and domestic partners must sign.	Signature:	
   
___/___/___

Date	
	Full Name:		
	Signature:	
   
___/___/___

Date	
	Full Name: