JLE Conveyancing Pty Ltd - licence no. 001565L / ABN: 23 631 330 884
www.jleconveyancing.com.au
info@jleconveyancing.com.au
4 Faddie Street Cairnlea Vic 3023
Jolie Le
0426 210 463
Director - Licensed Conveyancer
PURCHASER QUESTIONNAIRE
You have been referred by:
…………………………………………………………………………………………………
Property details:
Address
House
Land
Apartment
Townhouse/ Unit
Purpose for purchase: - Owner Occupied ☐
Commercial
First Home Buyer ☐
Existing Buyer ☐
- Investment ☐
Pensioner or Concession Buyer ☐
***We need the copy of concession card/ health care card of concession purchasers. If
card holders have claimed for stamp duty exemptions or concession in the past, they are
not eligible for claiming again.
Manner of holdings:
Nomination:
- Yes ☐
- Sole Proprietor ☐
Joint Proprietors ☐
- Tenants in common in equal shares ☐
- Tenants in common in unequal shares ☐
Please give details………………………………………………………….
- No ☐
Relationship between the Purchaser and the Nominee: ………………………………………
Lender details:
Lender - Loan
Reference
Phone
Broker/Banker
Email address
JLE Conveyancing Pty Ltd
Client details – Purchaser 1:
Individual full name /
Company name
ABN (if applicable)
Current Address
Future Address
Resident Status
Phone
Date of Birth
Citizens / Permanent Resident / Foreigners
Email:
Country of Birth
Client details – Purchaser 2:
Individual full name /
Company name
ABN (if applicable)
Current Address
Future Address
Resident Status
Phone
Date of Birth
Citizens / Permanent Resident / Foreigners
Email:
Country of Birth
Client details – Purchaser 3:
Individual full name /
Company name
ABN (if applicable)
Current Address
Future Address
Resident Status
Phone
Date of Birth
Citizens / Permanent Resident / Foreigners
Email:
Country of Birth
We confirm that we engage JLE CONVEYANCING to act on our behalf with regarding the
purchase of property ………………………………………………………………………………………….
Signature: ………………………………….. Full name:……………………………………………………..Date:……………….
Signature: ………………………………….. Full name:………………………………………………………Date:……………….
Signature: ………………………………….. Full name:……………………………………………………….Date:……………….
*** The signed quoted price must be returned together with this purchaser questionnaire.