Land tax self-assessed exemption form

This form is used to notify the ACT Revenue Office that you have self-assessed your eligibility for one of the following land tax exemptions:

  • Principal place of residence (individuals only, includes moving in/moving out)
  • Unfit for Occupation
  • Unable to live independently
  • Life tenant (individuals only)
  • Nil or nominal rent arrangement (individuals only)
  • Land use
  • No longer a foreign person (foreign ownership surcharge only)
Please complete the following questions to apply to the ACT Revenue Office for a Land Tax exemption
All fields marked ( * ) are mandatory.

Section 1: Owner details

Are you: *

See Foreign Ownership Surcharge for more information.


Date of birth:





Are you:


Date of birth:



Are you:

Date of birth:




Are you:

Date of birth:




Are you:

Date of birth:




Are you:

Date of birth:




Are you:

Date of birth:




Are you:

Date of birth:




Are you:

Date of birth:




Are you:

Date of birth:


Section 2: Contact details






Section 3: Property details







Is there another dwelling on the property that is rented? *
Date rental commenced:




Section 4: Exemption Types

For which exemption are you eligible for? *
Date property commenced being your principal place of residence:

Was the property rented?
Date the property ceased being rented:

Date the property became unfit for occupation:





Commencement date of life tenancy:
Commencement date:
Commencement date of arrangement: This exemption is available in circumstances where the property is being occupied and where any amount paid to the owner is not more than the total amount required for rates, repairs, insurance and maintenance.





Date property commenced being used for this purpose:







Date foreign ownership ceased:


Section 5: Declaration

declare that *

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 Information Privacy Act 2014.  Information (including personal information) is not disclosed to any third party unless authorised by law or with the consent of the person involved.

Contact us

To notify us of a change in your circumstances use the Land Tax Notification Form. If you require further information on Rates, Land Tax or the Foreign Ownership Surcharge, please contact the ACT Revenue Office by clicking here or call us on (02) 6207 0028.