Form

Property Type ^*

Incoming Resident ^*

Enter your full legal name including any middle name(s)

Date of Birth ^*

Phone Number ^*

Address ^*

Email ^*

Is there more than one incoming resident?

Address of property purchasing/leasing ^*

Enter the full property address

Village or Community & Representative contact details

Entry Price: ^*

Deposit amount Required? ^*

Have you paid the deposit? ^*

Yes

No

Portion of, balance required

Balance of entry price will be paid from: ^*

How much of your own funds do you expect to contribute towards this purchase: ^*

Where did these funds originate/source of funds ^*

(E.g. savings from personal income, inheritance, sale proceeds of property)

How are these funds held? ^*

Bank account

Physical cash

Bank account and physical cash

To assist with establishing your source of wealth to purchase this property, how did you acquire your overall wealth and assets? ^*

(E.g. funds from salaries, returns on investments, inheritance)

Are you an Australian Citizen? ^*

Yes

No

Country of tax residence Australia? ^*

Yes

No

Do you hold or have you held a legislative, executive or judiciary position in an Australian or Foreign Government? ^*

Yes

No

Are you a family member of a person in an Australian or Foreign Government position? ^*

Yes

No

Unsure

Do you have a preferred settlement date?

Yes

No

Is the property under construction or refurbishment?

Yes

No

Have you received the Disclosure Statement from the Village or Community Manager? ^*

Yes

No

Is there anything that you would like to share with us?

Retirement Village and Land Lease Instructions