Guide to Lodging Application Form
First Home Owner Grant Scheme
NOTE	This guide is for your assistance and should not be lodged with your application.  The meaning of words in bold is provided in section 1 of this guide and they apply to both the guide and the application form.
What’s in this guide
A  Terms used	H  Completing the application form	
B  Eligibility criteria	I. Proof of identity documents 	
C  Commissioner’s discretion 	J  Notifiable events and obligation to repay the grant	
D  How to lodge your application	K  Compliance investigations	
E  What homes qualify	L  False or misleading information and penalties	
F  When the grant will be paid	M  Your rights	
G  When you must move in and for how long	N  Contact details	
A	TERMS USED
Applicant	A person applying for a grant who, on completion of the eligible transaction, will own or hold a relevant interest in the land on which the home is built.  
All interested persons must be applicants — an interested person is a person who is, or will be on completion of the eligible transaction, an owner of the home.  
A shared equity partner is excluded from the requirement to be an applicant to the grant provided that, on completion of the transfer of the property to which the application relates, the shared equity partner will have an interest of 50 per cent or less in the property.	
Approved agent	An organisation (including a financial institution) approved by the ACT Revenue Office that processes applications for the First Home Owner Grant.  An approved agent is not authorised by the ACT Revenue Office to offer any advice or assistance on the conditions of eligibility for the grant or on the completion of the application for the grant.	
Certified copy	A true copy of an original document that has been sighted and certified by an authorised person* and annotated as follows: ‘I certify that I have sighted the original document and this is a true copy of it’ or words to that effect.  The certification must have the certifier’s name, title, registration number (if applicable) and be signed and dated.
*An authorised person includes a legal practitioner, justice of the peace, magistrate, notary public, police officer, dentist, veterinary practitioner, pharmacist, certified practising accountant, Member of Parliament, minister of religion, medical practitioner.	
Commencement date of eligible transaction	For a contract to purchase or build a home — the date the contract is signed.  
For an owner builder – the date when the foundations commenced to be laid.	
Commissioner	Commissioner for ACT Revenue.	
Completion date of eligible transaction	For a contract to purchase a new home or established home — when the purchaser becomes entitled to possession of the home and, if required to obtain registered title to the property, when the necessary steps to obtain registration of the purchaser’s title have been taken.
For a contract to build or an owner builder – when the building is ready for occupation as a place of residence (generally when a Certificate of Occupancy is issued).	
Contract to build	A comprehensive building contract where a builder agrees to build a complete home, from the time the building starts to when it is finished and is ready for occupation, and includes any further contract to complete work not otherwise completed for any reason.	
Consideration	The purchase price or cost of construction of the home.	
Eligible transaction  	A contract to purchase or build a home signed on or after 1 July 2000.  For an owner builder – the laying of the foundations on or after 1 July 2000.	
Home	A building, affixed to land, that may be lawfully used as a place of residence and that the Commissioner is satisfied is a suitable building for use as a place of residence.	
Individual	A natural person i.e. not a company or a trust.	
Notifiable event	An event that occurs when any part of the eligibility criteria is not met.  Applicants are required by law to notify the Commissioner in writing and repay the grant within 14 days of becoming aware of a notifiable event.  	
Off the plan purchase agreement	An agreement for the sale or transfer of dutiable property that is, or includes, land where a residence is to be erected or developed before completion of the sale or transfer.	
Owner	A person who has a relevant interest in land on which a home is built.	
Owner builder	An owner of land who builds a home or has a home built on the land in accordance with a building permit issued in his/her name without entering into a contract to build the home.	
Partner 	A person is the partner of the applicant if the person is the applicant’s domestic partner.  A ‘domestic partner’ is someone who lives with the applicant in a domestic partnership and includes a reference to a spouse of the applicant whether of the same or opposite sex.
Example of indicators to decide whether 2 people are in a domestic partnership:
•	the length of their relationship;
•	whether they are living together;
•	if they are living together—how long and under what circumstances they have lived together;
•	whether there is a sexual relationship between them;
•	the degree of financial dependence or interdependence, and any arrangements for financial support, between or by them;
•	the ownership, use and acquisition of their property, including any property that they own individually;
•	their degree of mutual commitment to a shared life;
•	whether they mutually care for and support children;
•	the performance of household duties; and/or
•	the reputation, and public aspects, of the relationship between them.	
Permanent resident	A person who holds a permanent residency visa under s 30 of the Migration Act 1958 (Cth) or a New Zealand citizen who holds a special category visa under s 32 of the Migration Act 1958.	
Principal place of residence	The home you primarily reside in.  The most important characteristic of a principal place of residence is that the person is living in the residence on an ongoing and permanent basis as the person’s settled or usual home.  When the occupation is transient, temporary or of a passing nature, or the occupation is for some other purpose, this is not sufficient to establish occupation as a principal place of residence.	
Related or associated party	A person is related or associated with another party when: 
•	one is the partner of the other;  or
•	they are related by blood, marriage or adoption;  or
•	they are a shareholder/director of the other party, being a company;  or
•	they are a beneficiary of a trust for which the other party is a trustee;  or
•	the transaction is otherwise not at arm’s length.	
Relevant interest	A person with a relevant interest may be described as the person who will have a legal entitlement to occupy the home being bought or constructed.  Usually this will be the person(s) registered as proprietor on the title (generally a leasehold interest in the land granted by the Commonwealth).  Each person acquiring a relevant interest must be listed as an applicant on the application form, excluding a shared equity partner with an interest of 50 per cent or less in the property.	
Residential property	Land in Australia on which there is a building that is lawfully occupied as a place of residence or that is suitable for occupation as a place of residence.  This includes houses, townhouses, units, flats, duplexes, converted warehouses, fixed moveable homes.	
Shared equity finance arrangement	A finance arrangement between an applicant and a shared equity partner.  	
Shared equity partner	A financial institution or an entity declared as a provider of community housing under s 73A of the Duties Act 1999. 	
Terms contract	A contract for the sale of land where the purchaser has to make 2 or more payments (excluding the deposit) to the vendor after the contract is signed by all parties.  Generally, the purchaser will be in possession of the land under the contract but cannot be registered on the title until the final payment is made to the vendor.	
Title search	A search on the land that shows the names of the registered owners.  A title search can be obtained from the ACT Registrar General’s Office.	

B	ELIGIBILITY CRITERIA
To apply applicants must:
√	lodge an application within 1 year after completion of the eligible transaction;
√	fully complete and sign the application form and lodge it together with the required supporting documents;
√	be an individual at least 18 years of age (i.e. not be applying as a company or a trust, unless as trustee for a person with a legal disability);
√	ensure at least one applicant is an Australian citizen or a permanent resident;
√ 	be buying or building a home for which the contract was signed on or after 1 July 2000, or building a home as an owner builder where building commenced on or after 1 July 2000;
√ 	ensure each person holding a relevant interest in the property is an applicant; and
√ 	ensure each applicant must reside in the home as their principal place of residence for a continuous period of at least 6 months, with the period of occupation starting within 1 year after completion of the eligible transaction.
Applicants and their partner must:
√ 	not have received a First Home Owner Grant anywhere in Australia.  If a grant was received but later repaid under the conditions on which it was granted, you may be entitled to reapply;
√ 	not have previously owned or held a relevant interest in a residential property anywhere in Australia prior to 1 July 2000;
√ 	not have occupied a residential property in which they acquired a relevant interest anywhere in Australia on or after 1 July 2000 but before 1 January 2004;  and
√ 	not have occupied, for a continuous period of at least 6 months, a residential property in which they acquired a relevant interest anywhere in Australia on or after 1 January 2004.
C	COMMISSIONER’S DISCRETION 
ELIGIBILITY CRITERIA	
Criterion	Discretion	
Age — all applicants must be 18 years old	The Commissioner may, if satisfied there are good reasons to do so, exempt an applicant from the requirement to be at least 18 years old.	
Residency requirements — all applicants must occupy the home as their principal place of residence for a continuous period of at least 6 months, with the period of occupation starting within 1 year after completion of the eligible transaction	The Commissioner may: 
(a)	exempt an applicant from the requirement to occupy the home;
(b)	approve a shorter period of occupation; however, the shorter period must start within 1 year after completion of the eligible transaction unless the Commissioner approves a longer period;  or
(c)	approve a longer period for the applicant to commence occupying the home than within 1 year after completion of the eligible transaction;  or
(d)	exempt 1 of 2 or more joint applicants from the requirements in (a), (b) or (c) if at least 1 applicant complies with them and there are good reasons to do so in the Commissioner’s opinion. 
NOTE      Mandatory timeframes and evidentiary requirements apply to all applications for an exercise of these discretions.  For further details of the application of the discretion see FHOG002 [PDF 44KB] [RTF 1,605KB].  For information about principal place of residence see FHOG003 [PDF 34KB] [RTF 1,571KB].	
Partner not regarded as applicant’s partner	A person who is the spouse of an applicant will not be regarded as the applicant’s partner if, at the time of deciding the application, the Commissioner is satisfied that the applicant is not living with the person and has no intention of resuming living with the person.	
OTHER MATTERS	
Lodgment of application 	The Commissioner may allow an application before or after the application period i.e. the period beginning on the commencement date of the eligible transaction and ending 1 year after completion of the eligible transaction.	
Payment of grant before completion of eligible transaction	The Commissioner may approve payment of the grant before completion of the eligible transaction if satisfied that there are good reasons to do so and conditions apply requiring repayment of the grant if the transaction is not completed within a reasonable time.	
Payment of grant in anticipation of compliance with residency requirements	The Commissioner may, if satisfied that the applicant intends to comply with the residency requirements, approve payment of the grant in anticipation of compliance.
Payment is conditional on compliance and if the residency requirements are not complied with, the applicant must notify the Commissioner and repay the grant within 14 days of the earlier of the end of the period allowed for compliance or when the applicant becomes aware the requirements will not be complied with during the period allowed for compliance.  
NOTE      Failure to notify the Commissioner and repay the grant is a strict liability offence.  For details of all offences see FHOG001 [PDF 45KB] [RTF 1,595KB].	
Lodgment of late objection to Commissioner’s decision 	The Commissioner may allow an applicant to lodge an objection after the 60 day period.	
D	HOW TO LODGE YOUR APPLICATION
You can lodge your application form with the approved agent providing finance for your home.  An approved agent is not authorised by the ACT Revenue Office to offer any advice or assistance on the conditions of eligibility for the grant or on the completion of the application for the grant.  At least one applicant must provide a certified copy of a category 1 document to establish citizenship or permanent residency.
You can also lodge your application form at the ACT Revenue Office.  You must provide certified copies of all four categories of Proof of Identity documents (see section I of the guide).
Use the ‘Checklist’ at the end of the application form to ensure you lodge certified copies of the required supporting documents with your application.
E	WHAT HOMES QUALIFY
The home must be a building affixed to land in the ACT that may be lawfully used as a place of residence and is (in the Commissioner’s opinion) suitable for residential use e.g. a house, flat, unit, townhouse, apartment, or a fixed movable home.  An off the plan purchase or a house and land package will become eligible for the grant on settlement. 
F	WHEN THE GRANT WILL BE PAID
For payment to be available at settlement or first draw down/progress payment, lodge your application with the approved agent providing your finance or the ACT Revenue Office.  For payment after settlement, lodge in person at the ACT Revenue Office.  The following table provides payment details.

Type of transaction	Applying through	Payment of grant	
Purchase of new or established home	Approved agent or ACT Revenue Office	Date of settlement	
Contract to build	Approved agent or ACT Revenue Office	Within 10 working days of the foundations being laid or
your builder invoices you for your first progress payment (not the deposit) or 
on issue of the Certificate of Occupancy	
Owner builder	Approved agent or ACT Revenue Office	Within 10 working days of the foundations being laid or
your builder invoices you for your first progress payment (not the deposit) or
on issue of the Certificate of Occupancy	
Terms contract	ACT Revenue Office	Within 14 days of lodging application with evidence of possession	

G	WHEN YOU MUST MOVE IN AND FOR HOW LONG
All applicants must start occupying the home within 1 year after completion of the eligible transaction.  All applicants must reside in the home as their principal place of residence for a continuous period of at least 6 months.  However, the Commissioner has a discretion to vary the residency requirements (see section C of the guide).
Applicants must satisfy the Commissioner that they have met the residency requirements and may be required to prove residency by providing documentary evidence of their period of occupancy.  
Applicants who do not satisfy the residency requirements must notify the Commissioner in writing within 14 days of the notifiable event and repay the grant (see section J of the guide).
H	COMPLETING THE APPLICATION FORM
The application form has 8 sections that must be completed as follows.
Section 1 – Eligibility Criteria
Answer Questions 1 to 7 by ticking the relevant YES or NO box. The answers are designed to establish if the applicant(s) meet the eligibility criteria.  
All persons with a relevant interest in the property, and any partner of those persons, must be considered when answering these questions.
The Commissioner makes all decisions relating to an applicant’s eligibility.  The Commissioner has a discretion to vary the eligibility criteria in certain circumstances (see section C of the guide and/or contact the ACT Revenue Office for further information).  
Section 2 – Applicant Details
Detail the number of persons with a relevant interest.  This must include all persons who have, or will have, a relevant interest in the property.  If there are more than two applicants, complete an additional application form and attach it to the first application form.
If an applicant has a partner, there are two options.  If your partner is an applicant, he or she must be recorded within this section.  If your partner is not an applicant, you must complete the details in section 3 of the application form.  Nominate a postal address for correspondence to be sent on behalf of all applicants.
Section 3 – Non-applicant Partner Details
This section must be completed by the applicant in relation to the partner of the applicant who has not already been specified as an applicant (and therefore will have no relevant interest in the residential property).  If the applicant is required to complete this section, the non-applicant partner must complete the declaration in section 7 of the form.
Section 4 – Property and Transaction Details
Provide the current title (suburb/section/block/unit) details of the property.  Provide the intended date of occupancy as owner of the home.  Estimate this date if you are unsure.  
To be eligible for the grant all applicants (excluding a shared equity partner with an interest of 50 per cent or less in the property) must move into the home and maintain it as their principal place of residence for a continuous period of at least 6 months, starting within 1 year after completion of the eligible transaction.
Section 5 – Payment Details
Applicants must complete this section only if applying through the ACT Revenue Office.  You must nominate an account to receive funds electronically (EFT).  The account can belong to a person who is not an applicant.  Payment of the grant will be made into the nominated bank account.  
Provide details of the name of the financial institution, account name, BSB, and account number.  
Failure to provide correct details will cause delays in payment of the grant.  If you are applying through an approved agent, the agent will record all your payment details.

Section 6 – Declaration by Applicant(s)
All applicants must sign the declaration and must have read and understood all the details completed on the application form.
Section 7 – Declaration by Non-applicant Partner
If an applicant’s partner is not an applicant, he or she must sign this declaration and must have read and understood all the details completed on the application form as they relate to him or her.
Section 8 – Checklist of Documents to be Lodged with Application
Please ensure all supporting documentation is attached with your application.  Failure to produce the relevant documentation may result in delays in processing.
I	PROOF OF IDENTITY DOCUMENTS 
The following is a list of documents acceptable for each category of identification listed in the application form and must be read in conjunction with the application form.  Applicants and their partners (excluding a shared equity partner) must lodge a certified copy of a document from each of the following 4 categories as proof of identify.  A single document cannot be used for more than one category.
Category	Preferred document 	
Category 1	Birth certificate	
Category 2**	Driver’s licence	
Category 3**	Medicare Card	
Category 4**	Current utilities bill (showing the applicant’s name and residential address)	
** Not required if application is lodged through an approved agent.
Certified copies of the following documents are also acceptable.  Applicants who are unable to provide a certified copy of a document from a category or categories should contact the ACT Revenue Office to discuss their circumstances.
Category	Certified copy of document satisfying the category	Comment	
Category 1 	If born in Australia
•	Australian birth certificate issued by Registrar of Births, Deaths and Marriages^

If born overseas
•	Passport – current*^
      and
Record of immigration status
•	Australian Citizenship Certificate^
•	Permanent residency certificate (Form 283) issued by the Department of Immigration^
•	Permanent residency visa^	* If the current Passport is an overseas passport also provide one of the “Record of immigration status” documents

^ Evidence of Change of Name is required if the name on any document is different from the name of the applicant (e.g. Change of Name certificate, Deed Poll certificate, Marriage certificate, Birth certificate)

If separated from your spouse, provide a statutory declaration with your former partner’s name, date of birth, date of marriage, date of separation, current address (if known) and statement to the effect that you do not live together and have no intention of resuming cohabitation
	
Category 2** 	•	Australian driver’s licence^ – current learner’s permit or provisional licence showing address as on application
•	Passport – current^ - lapsed passports will not be accepted
•	Firearms licence – current^
•	Photo ID from place of work		
Category 3** 	•	Medicare card^
•	Motor vehicle registration
•	Centrelink or Department of Veterans’ Affairs card^
•	Security guard/crowd control licence^
•	Tertiary education institution ID card^		
Category 4** 	•	Utility documents showing current residential address
•	Insurance policy showing current residential address
•	Loan documents from a financial institution		
** Not required if application is lodged through an approved agent.
J	NOTIFIABLE EVENT AND OBLIGATION TO REPAY THE GRANT
A notifiable event occurs when any part of the eligibility criteria is not met.  In all such cases, applicants are required by law to notify the Commissioner in writing and repay the grant within the timeframes specified as follows.
NOTIFIABLE EVENT	NOTIFICATION TIMEFRAME	
Failing to comply with the residency requirements 
(see section G of the guide)	Within 14 days of the earlier of the date:
•	by which the applicants were required to have taken occupation of the home; or
•	on which it became apparent that the applicants would not comply with the residency requirements during the period allowed for compliance.	
Failing to comply with a condition of the grant in relation to a non-complying interest, or payment before completion of eligible transaction, or a general condition	Within 14 days of breach of the condition.	
Overpayment of the grant	Within 14 days of payment of the grant.	
It is an offence to fail to comply with notification and repayment obligations (see section L of the guide).
K	COMPLIANCE INVESTIGATIONS
The ACT Revenue Office conducts ongoing investigations to ensure that applicants comply with all conditions.  All applications are rigorously reviewed, and checks made of former home ownership by any applicant in the ACT and interstate, together with a title search of property details.  Further checks are made of partner status and ACT Planning and Land Authority records.  A compliance check generally takes place after the grant has been paid.
L	FALSE OR MISLEADING INFORMATION AND PENALTIES 
Applicants for the First Home Owner Grant must ensure information contained in or in connection with their application is information they know to be true and correct in every particular.  If a grant is subject to conditions notified to applicants in writing, applicants must comply with the conditions or repay the grant if they are unable to comply.
Applicants who receive a grant to which they are not entitled, or who do not comply with the residency requirements, or who fail to comply with notification and repayment obligations may, in addition to repaying the grant, be subject to an administrative penalty of up to the amount of the grant, and payment of interest.  Applications are made on a self‑assessment basis.  Information supplied by applicants is generally compliance checked after the grant has been paid.
Giving false or misleading information is a serious offence under the Criminal Code 2002 (ACT).  The ACT Revenue Office may prosecute any applicant found to have provided false or misleading information in an application.  For offences and penalties under the FHOG Act see FHOG001 [PDF 45KB] [RTF 1,595KB]. 
M	YOUR RIGHTS
If you wish to obtain more information about a decision, you may apply in writing to the Commissioner within 28 days after the date of the decision by post to PO Box 293, Civic Square ACT 2608 or by email using the feedback form at http://www.revenue.act.gov.au/functions/feedback_form. 
If you wish to object to a decision, you must apply in writing to the Commissioner by post to PO Box 293 Civic Square ACT 2608 or by email to revenue_objections@act.gov.au within 60 days after the date of service of the decision.  The application must state clearly your reasons for objecting and be accompanied by the prescribed fee of $64.  You bear the burden of showing that your objection should be upheld.  An objection is determined by a senior officer who is independent of the original decision-maker on the basis of the information provided in the objection and by the decision-maker.  Additional information may be requested to assist in determining the objection.  The Commissioner will give you notice in writing of the determination of your objection.  
If you wish to seek a review of the determination of your objection, you must apply in writing to the ACT Civil and Administrative Tribunal (the ACAT) within 28 days of the date of the determination.  The application must state clearly your reasons for seeking a review.  Contact the ACAT Registry for further information.  

N	CONTACT DETAILS
Telephone	(02) 6207 0028	
Street address	Canberra Nara Centre
Corner of London Circuit and Constitution Avenue
Canberra City 	
Postal address	PO Box 293
Civic Square  ACT  2608	
Office hours	9:00 am to 5:00 pm Monday, Tuesday, Thursday and Friday
10:30 am to 5:00 pm Wednesday	
Website	www.revenue.act.gov.au  	

GIVING FALSE OR MISLEADING INFORMATION IS A SERIOUS OFFENCE 
(section 338 Criminal Code 2002)

PRIVACY STATEMENT
All information collected by the ACT Revenue Office is protected by secrecy provisions in Acts administered by the Office and only used for the purposes of those Acts.  In addition, personal information provided to the ACT Revenue Office is protected by the Privacy Act 1988 (Cth).  Information (including personal information) is not disclosed to any third party unless authorised by law or with the consent of the person involved.

SECTION 1 	ELIGIBILITY CRITERIA
NOTES	Read the guide to the application for the meaning of any terms used in the application.  This application will not be considered unless it is signed and lodged with the required supporting evidence.  Applications must be lodged within 1 year after the completion date of the eligible transaction.  Eligibility is determined at the date of lodgment of the application.  All applicants and their partner must be considered when answering the eligibility questions.  
ELIGIBILITY CHECKLIST
1	Is this the first time each applicant and/or their partner will receive a grant under the First Home Owner Grant Act 2000 anywhere in Australia?
NOTE   An earlier grant repaid under the conditions on which it was granted is not included.	 Yes	 No	
2	Does each applicant and their partner declare that before 1 July 2000 he/she has never owned a residential property anywhere in Australia either jointly, separately or with some other person?
NOTE   Applicants are not eligible for a grant if they or their partner have held a relevant interest in residential property prior to 1 July 2000, even if they have never occupied the property.	 Yes	 No	
3A	Does each applicant and their partner declare that he/she has never occupied residential property anywhere in Australia in which they acquired a relevant interest either jointly, separately or with some other person, on or after 1 July 2000 but before 1 January 2004? 	 Yes	 No	
3B	Does each applicant and their partner declare that he/she has never occupied residential property anywhere in Australia for a continuous period of at least 6 months in which they acquired a relevant interest either jointly, separately or with some other person, on or after 1 January 2004? 	 Yes	 No	
4	Is each applicant an individual (e.g. not a company or trust except a trustee for a person with a legal disability) and at least 18 years of age?
NOTE   An individual under 18 years of age may still be eligible – contact the ACT Revenue Office.	 Yes	 No	
5	Is at least one applicant an Australian citizen or permanent resident at the time of making the application?	 Yes	 No	
6	Will all applicants be occupying the home as their principal place of residence for a continuous period of at least 6 months, with the period of occupation starting within 1 year after the completion date of the eligible transaction?
NOTE   A non-complying applicant may still be eligible for a grant – contact the ACT Revenue Office.	 Yes	 No	
7	Has each applicant on or after 1 July 2000, either:
•	entered into a contract for the purchase of a home in the ACT;  or
•	entered into a contract to build a home built in the ACT;  or
•	in the case of an owner builder – commenced constructing a home in the ACT (i.e. laying the foundations)?	 Yes	 No	

Approved Agent / ACT Revenue Office use only	
All evidence sighted: 
 Yes    No	Person sighting the evidence:	Signature:
Date:	Payment eligibility date: (enter settlement, completion or first draw down date only)	

DETERMINATION OF ELIGIBILITY
If you answered YES to all of the above questions, you may be entitled to receive the First Home Owner Grant subject to the written decision of the Commissioner.  If you answered NO to any question, you may still be eligible if a discretion is exercised in your favour (see section C of the guide).
SECTION 2 	APPLICANT DETAILS
NOTE	All applicants must complete this section.  If there are more than two applicants, complete and attach an additional application form.  
Each applicant must sign the declaration in section 6 of the form.  
A shared equity partner is excluded from the requirement to be an applicant to the grant provided that, on completion of the transfer of the property to which the application relates, the shared equity partner will have an interest of 50 per cent or less in the property.
Number of applicants (how many persons will have a relevant interest in the property?)	     	

Related or associated party transactions (are any of the applicants or their partners related to or associated with the vendor or builder? If yes, provide evidence of the consideration paid)	  Yes    No	

Indigenous Australian (are any of the applicants Aboriginal or Torres Straight Islander?)  
NOTE  Answering this question is optional. The information collected will only be used for statistical purposes by Commonwealth, State and other Territory Governments and will have no bearing on your application	  Yes    No	

	Applicant 1 (Contact Applicant)		Applicant 2	
Title	 Mr  Mrs  Miss  Ms  Dr		 Mr  Mrs  Miss  Ms  Dr	

First name
Middle name(s)
Family name	     		     	
	     		     	
	     		     	
If different from above:
Name on birth certificate	 First name	     		     	
Middle name(s)
Family name	     		     	
	     		     	

Have you ever used any name other than the name(s) declared above?	 Yes – list  
name(s) below	 No		 Yes – list  
name(s) below	 No 	
	     		     	
	     		     	

Date of birth	 	 	 	 	 	 	 	 		 	 	 	 	 	 	 	 	

Place of birth	State/Territory	     		     	
Country	     		     	

Daytime telephone number	(     )      		(     )      	
Email address	     		     	

Current residential address	Street number
     		Street number
     	
	Street name
     		Street name
     	
	Suburb
     		Suburb
     	
	State
     	Postcode
    		State
     	Postcode
    	

Address for service of notices
(if different from above)	Street number
     		Street number
     	
	Street name
     		Street name
     	
	Suburb
     		Suburb
     	
	State
     	Postcode
    		State
     	Postcode
    	

Do you have a partner?	 Yes	 No		 Yes	 No	
If yes, will your partner have a relevant interest in the home?	 Yes – your partner must complete the details as Applicant 2 above 	 No – you must complete section 3 		 Yes – your partner must complete the details as an applicant	 No – you must complete section 3 	

Tick the States and/or Territories in which you have lived	NSW
	ACT
	NT
	QLD
	SA
	TAS
	VIC
	WA
		NSW
	ACT
	NT
	QLD
	SA
	TAS
	VIC
	WA
	
SECTION 3 	NON-APPLICANT PARTNER DETAILS
NOTE	To be completed by the applicant where the partner of an applicant is not listed as an applicant in section 2.  The non-applicant partner must also sign the declaration in section 7.
	Non-applicant Partner of Applicant 1		Non-applicant Partner of Applicant 2	
Title	 Mr  Mrs  Miss  Ms  Dr		 Mr  Mrs  Miss  Ms  Dr	

First name
Middle name(s)
Family name	     		     	
	     		     	
	     		     	
If different from above:
Name on birth certificate	 First name
Middle name(s)
Family name	     		     	
	     		     	
	     		     	

Date of birth	 	 	 	 	 	 	 	 		 	 	 	 	 	 	 	 	

Place of birth	State/Territory
Country	     		     	
	     		      	

Has your partner ever used any name other than the name(s) declared above?	 Yes – list name(s) below	 No		 Yes – list name(s) below	 No 	
	     		     	
	     		     	

Daytime telephone number	(    )      		(    )      	

Tick the States and/or Territories in which the non-applicant partner has lived	NSW
 	ACT
	NT
	QLD
	SA
	TAS
	VIC
	WA
		NSW
	ACT
	NT
	QLD
	SA
	TAS
	VIC
	WA
	
SECTION 4 	PROPERTY AND TRANSACTION DETAILS
NOTE	A shared equity partner is excluded from the requirement to be an applicant to the grant provided that, on completion of the transfer of the property to which the application relates, the shared equity partner will have an interest of 50 per cent or less in the property.
Address of the property	Unit/Street Number     	
	Street Name      	
	Suburb      	
	State      ACT                                        Postcode      	

Date occupation as principal place of residence commenced 
(or is intended to commence)	 	 	 	 	2	0	 	 	

Purchase price or construction cost	$      	

Title details	Suburb	Section	Block	Unit	

Transaction details	 Established home	 Off the plan	 Contract to build	 New home	 Owner builder	

Shared equity partner	 Yes    No	If yes, name of shared equity partner 		% of property to be held by shared equity partner		

Date of settlement (or if building, date of first progress payment or completion)	 	 	 	 	2	0	 	 	

Date of contract (or if owner builder, date the foundations were laid)	 	 	 	 	2	0	 	 	

Approved Agent use only/Applicant reference:

SECTION 5 	PAYMENT DETAILS
NOTE:	If applying through the ACT Revenue Office, payment of the grant will be by electronic funds transfer into the account nominated below.  If applying through an approved agent, do not complete the account details below as the grant will be paid through the agent.
Name of financial institution 	     	

Account name(s) 	     	

BSB number (must have 6 numbers)*	 	 	 	   —	 	 	 	

Account number (maximum of 9 numbers)
Do not include dashes or spaces	 	 	 	 	 	 	 	 	 	
SECTION 6 	DECLARATION BY APPLICANT
1.	I have completed the application form and attached all relevant documents in support of this application.
2.	I have not previously received and retained a grant under the First Home Owner Grant Act 2000 (ACT) or under a corresponding Act in any State or other Territory, either alone or together with any other person or persons.
3.	I have not owned a home or held a relevant interest in a residential property within Australia, either alone or together with any other person or persons, prior to 1 July 2000.
4.	I have not owned and occupied a residential property within Australia in which I acquired a relevant interest, either jointly, separately or with some other person, on or after 1 July 2000 but before 1 January 2004
5.	I have not owned and occupied, for a continuous period of at least 6 months, a residential property within Australia in which I acquired a relevant interest, either jointly, separately or with some other person on or after 1 January 2004.
6.	At the date of lodging this application, at least one applicant is an Australian citizen or a permanent resident.
7.	I will be residing in the home to which this application relates as my principal place of residence for a continuous period of at least 6 months, with the period of occupation starting within 1 year after the completion date of the eligible transaction.  (A non-complying applicant must apply for exemption from the residency requirements.)
8.	I undertake to notify the Commissioner in writing of any notifiable event under the First Home Owner Grant Act 2000 (ACT) within 14 days of its occurrence.
9.	I have read and understood the information in the guide prepared by the ACT Revenue Office relating to the conditions of eligibility.  I accept that if the conditions of eligibility are not met, I may not be entitled to receive or retain the grant.
10.	I authorise the ACT Revenue Office to access and exchange information about me to verify my eligibility for the First Home Owner Grant with the approved agent (where applicable), State, Territory and Australian Government agencies, and commercial organisations, as permitted by law.
11.	I understand that the approved agent is not authorised by the ACT Revenue Office to offer any advice or assistance on the conditions of eligibility for the grant, or on the completion of this application.
12.	I authorise the ACT Revenue Office to deposit the grant into the account nominated in section 5 (ensure account details are correct) or into the approved agent’s nominated account (where applicable).  
13.	I authorise the approved agent to hold the grant until the completion of the eligible transaction and to repay the grant to the Commissioner if the transaction is not completed within 28 days of the date specified.
14.	I authorise the Commissioner to address all correspondence relating to this application to Applicant 1 at the address nominated.
15.	I acknowledge that if I am not entitled to the grant I may be required to repay the grant, and may be liable for a penalty of up to the amount of the grant, and interest.  I further acknowledge that I may also be prosecuted under the Criminal Code 2002 (ACT) for making a false or misleading statement in or in connection with this application.  	
I declare that the statements contained herein and the supporting documentation provided are true and correct in every particular.

	Applicant 1	Applicant 2	
Name	     	     	
Signature			
Date	     	     	
Before me 
(signature of witness)			
Full name and address of witness 
(A witness must not be an applicant or a  partner of an applicant and must not be related to the applicant or his/her partner)	Name      	Name      	
	Street number/name      	Street number/ name      	
	Suburb      	Suburb      	
	State                            Postcode     
	State                            Postcode     
	
SECTION 7 	DECLARATION BY NON-APPLICANT PARTNER OF APPLICANT
1.	The partner details in section 3, in so far as they relate to me, are true and correct.
2.	I have not previously received and retained a grant under the First Home Owner Grant Act 2000 (ACT) or under a corresponding Act in any State or other Territory, either alone or together with any other person or persons.
3.	I have not owned a home or held a relevant interest in a residential property within Australia, either jointly, separately or with some other person, prior to 1 July 2000.
4.	I have not owned and occupied a residential property within Australia in which I acquired a relevant interest, either jointly, separately or with some other person, on or after 1 July 2000 but before 1 January 2004.
5.	I have not owned and occupied, for a continuous period of at least 6 months, a residential property within Australia in which I acquired a relevant interest, either jointly, separately or with some other person, on or after 1 January 2004.
6.	I authorise the ACT Revenue Office to access and exchange information about me to verify my partner’s eligibility for the First Home Owner Grant with the approved agent (where applicable), State, Territory and Australian Government agencies, and commercial organisations, as permitted by law. 
7.	Although I am not an applicant for the grant, I have read and understood the reasons in the guide for me having to make this declaration.
8.	I acknowledge that I may be prosecuted under the Criminal Code 2002 (ACT) for making a false or misleading statement in or in connection with this application.  
	
I declare that the statements contained herein and the supporting documentation provided are true and correct in every particular 
in so far as they relate to me.
	Partner of Applicant 1	Partner of Applicant 2	
Name	     	     	
Signature			
Date	     	     	
Before me 
(signature of witness)			
Full name and address of witness 
(A witness must not be an applicant or a  partner of an applicant and must not be related to the applicant or his/her partner)	Name      	Name      	
	Street number/name      	Street number/ name      	
	Suburb      	Suburb     	
	State                            Postcode     
	State                            Postcode     
	
CONTACT DETAILS
Telephone	(02) 6207 0028	
Street address	Canberra Nara Centre
Corner of London Circuit and Constitution Avenue
Canberra City 	
Postal address	PO Box 293
Civic Square  ACT  2608	
Office hours	9:00 am to 5:00 pm Monday, Tuesday, Thursday and Friday
10:30 am to 5:00 pm Wednesday	
Website	www.revenue.act.gov.au  	

GIVING FALSE OR MISLEADING INFORMATION IS A SERIOUS OFFENCE 
(section 338 Criminal Code 2002)

PRIVACY STATEMENT
All information collected by the ACT Revenue Office is protected by secrecy provisions in Acts administered by the Office and only used for the purposes of those Acts.  In addition, personal information provided to the ACT Revenue Office is protected by the Privacy Act 1988 (Cth).  Information (including personal information) is not disclosed to any third party unless authorised by law or with the consent of the person involved.

SECTION 8	CHECKLIST
Complete the checklist to ensure the required supporting documents are attached to your application.  
To ensure your application is processed in a timely manner, make sure it is fully completed, signed and dated.  
Your application will not be accepted if it is not fully completed and/or the required supporting documents are not attached.  
Additional documents may be requested after lodgment of your application.
Proof of identity of all applicants and their partners (only provide certified copies)	Tick if attached	Office use only	
Category 1 — type: 			
Category 2* — type: 			
Category 3* — type: 			
Category 4* — type:			
•	Certificate of divorce, marriage certificate, death certificate, change of name certificate, other
•	Statutory declaration for persons who are separated 	

	
Contract to purchase a home (only provide certified copies)	
•	Certified copy of Contract for Sale, dated and signed by the vendor			
Where there is no contract, or the sale of the property is between family members or related parties:	
•	Stamped and dated copy of the transfer signed by both parties
•	Evidence that consideration has been paid*	

Contract to build a home (only provide certified copies)	
•	Certified copy of contract to build dated and signed by all parties
•	Title search showing the applicant(s) as the registered proprietor(s)*
•	Copy of receipt for foundations*
•	Evidence of first progress payment after deposit*
•	Certificate of Occupancy issued by ACT Planning and 
Land Authority*	

	

	
Owner builder (only provide certified copies)	
•	Title search showing the applicant(s) as the registered proprietor(s)*
•	Copy of receipt for foundations*
•	Evidence of first progress payment after deposit*
•	Certificate of Occupancy issued by ACT Planning and Land Authority*	

	

	
* Not required if application is lodged with an approved agent