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Retirement Village and Land Lease Instructions
* Denotes a required field
Incoming Resident
*
Enter your full legal name including any middle name(s)
Date of Birth
*
Phone Number
*
Enter your preferred contact phone number
Address
Email
*
Is there more than one incoming resident?
Please select
Yes
No
Incoming Resident
Enter your full legal name including any middle name(s)
Date of Birth
Phone Number
Enter your preferred contact phone number
Address
Email
Address of property purchasing/leasing
*
Enter the full property address
Village & Representative contact details
Entry Price
*
Deposit Required?
*
Please select
Yes
No
Has the deposit been paid?
*
Yes
No
Deposit amount
The balance of the entry price will be paid from:
*
Cash at the bank
Sale proceeds
Other
If other, please advise:
Do you have a preferred settlement (handover) date:
Please select
Yes
No
Is the property under construction?
Please select
Yes
No
When is construction expected to be completed?
Are you Australian Citizen(s)?
*
Please select
Yes
No
Are you permanent resident(s)?
Please select
Yes
No
If No to both of the above, please advise your residency status:
Have you received the disclosure statement from the Village/Community?
Please select
Yes
No
Have you signed and returned the statement?
Please select
Yes
No
Are there any other concerns you wish to advise?
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