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Contact Information

Fields marked with an * are required

First Name *

Last Name *

Phone *

Email *

Address 1

Address 2

City

Post Code

Country

Property Owner Details

Individuals

Company

Trust

SMSF

Individuals List

Company List

Trust List

SMSF List

Property Details

Form of Title

Lot Number (if street number is unallocated)

Street Address

Unit Number (if applicable)

Property Country

Suburb

Post Code

Property Details Continued

Type of Property

Improvements and Features

Number of bedrooms

Number of bathrooms

Number of living areas

Number of garages

Property Financial Details

Date of Purchase

Purchase Price

Current Market Value

Declaration

I (We)

hold legal title on the Project / Property listed above

I (We) have attached an Executive Summary of the Project / Property.

I (We) have attached the latest independent professional valuation with this application

If the Project / Property is under construction, what is the estimated time for completion?

I (We) have entered into an agreement to sell or transfer said property.

Are there any structural defects in the property?

If yes, please provide details

I (We) agree to give formal notice to EquityShield of any claim or filing of claim for construction defects.

Is there any noise nuisance from a neighboring property?

We warrant that the above 'current market value' in Property Information section is true and accurate value.

Has a compulsory purchase order or planning enforcement notice been served or proposed in respect of the property?

I (We) understand that payment of the EquityShield POC fee is due only upon mutually acceptable valuations and execution of the LIVN contract, and I (We) can demonstrate ability to pay the POC fee.

I (WE) CONFIRM THAT TO THE BEST OF MY (OUR) KNOWLEDGE, THE ABOVE STATEMENTS ARE TRUE AND ACCURATE.

Supporting Documentation

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