First Home Owner Grant

OFH 001 | Application Form | November 2020 14 of 22
First Home Owner Grant (New Homes) Act 2000
New South Wales
Application Form for New Homes
Note:
ƒ Use this form if you are purchasing or building a new home and
the commencement date of the eligible transaction is on or after
1 July 2017
ƒ This application will not be accepted unless fully completed
and all required supporting evidence is lodged.
ƒ Read the lodgement guide for explanations of the terms used in
this application
ƒ Applications must be lodged within 12 months of completion of the
eligible transaction
ƒ There are significant penalties for making a false or misleading
statement, as well as possible prosecution
ƒ Please answer all questions and cross the appropriate boxes.
SECTION 1 Eligibility criteria
Note:
ƒ Eligibility is determined as at the commencement date of the eligible transaction
ƒ All applicants and their spouse/partner must be considered when answering eligibility questions.
Eligibility checklist
OFFICE USE ONLY
UIN
Application
reference
Application
received by
Date lodged
1. Is this the first time each applicant and/or their spouse/partner will receive a first home owner grant in
any state or territory of Australia?
2. Is each applicant and their spouse/partner a person who has never owned a residential property,
either jointly, separately or with some other person before 1 July 2000 in any state or territory of Australia?
Note: Applicants are not eligible for a grant if they or their spouse/partner have held a relevant interest in residential
property prior to 1 July 2000, even if they have never occupied the property.
3. Is each applicant and their spouse/partner a person who has never occupied a residential property for
a continuous period of at least six months in which they acquired a relevant interest on or after 1 July
2000 in any state or territory of Australia?
4. Is each applicant a natural person (ie not a company or trust) at least 18 years of age and whose
interest in the property is not held subject to a trust?
5. Is at least one applicant a permanent resident or Australian citizen?
6. Will at least one applicant be occupying the home as their principal place of residence for a continuous
period of at least six months commencing within 12 months of completion of the eligible transaction?
Note: To apply for the Australian Defence Force residence exemption, please complete the Australian Defence Force
residence exemption questions in Section 2.
7. Has each applicant on or after 1 October 2012 in respect of the home to which this application relates, either:
ƒ entered into a contract for the purchase of a new home in New South Wales OR
ƒ entered into a contract to have a home built in New South Wales OR
ƒ in the case of an owner builder, commenced construction of a home in New South Wales?
(i.e. laying of foundations).
Determination of eligibility
If you answered ‘Yes’ to ALL of the above questions, you may be entitled to receive the First Home Owner Grant for
a new home. The Chief Commissioner will determine your eligibility and advise you of his decision in writing.
Please attach additional information (where applicable) to support your eligibility for the grant.
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
OFH 001 | Application Form | November 2020 15 of 22
SECTION 2 Applicant details
Note:
ƒ All applicants must complete this section.
ƒ If there are more than two applicants, please complete and attach an additional application form.
Number of applicants
How many people will have a relevant interest in the property? Enter number of applicants
Related or associated party transactions
Are any of the applicants or their spouse/partner(s) related
to or associated with the vendor or builder? Yes No
If ‘Yes’, please provide
evidence of the
consideration paid.
(Refer to lodgement guide).
Indigenous Australian
This question is optional – the information will only be used for statistical
purposes by Commonwealth and State Governments, and has no bearing on
your application.
Are any of the applicants Aboriginal or Torres Strait Islander? Yes No

Australian Defence Force residence exemption
An exemption to the residence requirement, is only available to Australian
Defence Force personnel.
Please leave questions blank if you are not entitled to the exemption.
Only complete the following questions if you are applying for
the exemption.
1. Was at least one applicant a member of the permanent forces of the
Australian Defence Force as at the commencement date of the eligible
transaction?
Yes No
If ‘Yes’, please indicate which branch they serve(d) in: Regular Army
Permanent Navy
Permanent Air Force
2. If ‘Yes’ to question 1, were all the applicants enrolled on the NSW electoral
roll as at the commencement date of the eligible transaction? Yes No
If you answered ‘Yes’ to questions 1 and 2, you may be eligible for the
residence exemption.
To receive your exemption, please provide a copy of a document issued
by the Australian Defence Force. This document must clearly show the
applicant’s name and that the applicant was a permanent member of the
Australian Defence Force as at the commencement date of the eligible
transaction.
Note: An exemption will not be granted if the document is not provided.
Approved Agent and Revenue NSW use only
Please cross this box if you have sighted the documentary evidence and a
copy is attached to the application. Yes (Evidence provided)

Participation in First Home Benefits promotions
This question is optional – and has no bearing on your application.
The Revenue NSW often promotes the First Home Benefits to
increase awareness.
Please cross this box if you would like to assist in any future promotional activity. Yes (I would like to assist in promotional activity)
You will be contacted by Revenue NSW prior to any promotional activity.
OFH 001 | Application Form | November 2020 16 of 22
Title
First name
Middle name(s)
Family name
Name on birth certificate
(if different from above)
Have you ever used any
name other than the name(s)
declared above?
Address for
service of notices
(if different from above)
Daytime phone number
Email address
Current residential address
Date of birth (dd/mm/yyyy)
Place of birth
As at the commencement
date of the eligible transaction,
did you have a spouse/partner?
Yes
No
If ‘Yes’, your spouse/partner must
complete the details as applicant 2
above.
If ‘No’, you must complete
Section 3 — spouse/partner details.
Yes
No
If yes, will your spouse/partner
have a relevant interest
in the home?
Note: If you are separated from
your spouse, supply a statutory
declaration (refer to Lodgement
Guide 1B)
Applicant 2
Mr Mrs Miss Ms Dr
( )
Yes list name(s) below No
Yes
No
If ‘Yes’, your spouse/partner must
complete the details as an applicant.
If ‘No’, you must complete
Section 3 — spouse/partner details.
Yes
No
Note: If you are separated from
your spouse, supply a statutory
declaration (refer to Lodgement
Guide 1B)
SECTION 2 Applicant details (cont)
Mr Mrs Miss Ms Dr
Yes list name(s) below No
( )
First name
Middle name(s)
Family name
First name
Middle name(s)
Family name
State/Territory
Country
Applicant 1 (contact applicant)
Street no.
Street name
Suburb/town
State Postcode
Street no.
Street name
Suburb/town
State Postcode
Street no.
Street name
State Postcode
Suburb/town
OFH 001 | Application Form | November 2020 17 of 22
SECTION 2 Applicant details (cont)
Tick each of the States and/or
Territories which you have lived
Applicant 1 (Contact applicant) Applicant 2
NSW ACT NT QLD
TAS SA VIC WA
NSW ACT NT QLD
TAS SA VIC WA
SECTION 3 Spouse/partner details
Note:
ƒ This section must be completed where the spouse/partner of an applicant has not been specified as an applicant in
Section 2 of the application.
SECTION 4 Property and transaction details
Address of the property
Lot no.
(only use lot no. if street
no. is not allocated)
Unit/
Street no. Street name

Suburb/town
Date when occupation as a principal place of residence commenced or
State

Postcode
is intended to commence (if not known please estimate) (dd/mm/yyyy).
Leave blank if Australian Defence Force residence exemption applies.

NSW

Spouse/partner of applicant 1
Title
First name
Mr Mrs Miss Ms Dr
Middle name(s)
Family name
Name on birth certificate
(if different from above)
( )
Has your spouse/partner
ever used any name
other than the name(s)
declared above?
Yes list name(s) below No
Daytime phone number
Date of birth (dd/mm/yyyy)
Place of birth
Tick each of the States and/or
Territories which you have lived
NSW ACT NT QLD
TAS SA VIC WA
Spouse/partner of applicant 2
Mr Mrs Miss Ms Dr
( )
Yes list name(s) below No
NSW ACT NT QLD
TAS SA VIC WA
Email address
First name
Middle name(s)
Family name
First name
Middle name(s)
Family name
State/Territory
Country
State/Territory
Country
OFH 001 | Application Form | November 2020 18 of 22
Title details
Lot no. Section no. Plan type* Plan no.
*Enter DP for Deposited Plan; SP for Strata Plan; Other if not DP or SP and enter the other details under Plan no.
Transaction details
What type of transaction does this application refer to?
Please select your transaction type and answer the questions for that transaction. Please refer to terms used in the lodgement guide.
Transaction type (please tick applicable boxes)
New Home purchase
1. Is this the first sale of the home? Yes
No
2. Did you purchase the home from the builder? Yes
No
3. Are you/will you be the first occupant(s) of the home? Yes
No
4. Are you purchasing a substantially renovated home? Yes
No
Off the Plan (New Home purchase)
1. Is this the first sale of the home? Yes
No
2. Did you purchase the home from the builder? Yes
No
3. Are you/will you be the first occupant(s) of the home? Yes
No
4. Are you purchasing a substantially renovated home? Yes
No
Contract to build
1. Are you building a home to replace demolished premises? Yes
No
If ‘Yes’, attach vendor’s statement.
Refer to definitions on page 12.
If ‘Yes’, attach vendor’s statement.
Refer to definitions on page 12.
If ‘Yes’, attach vendor’s statement.
Refer to definitions on page 12.
If ‘Yes’, attach vendor’s statement.
Refer to definitions on page 12.
If ‘Yes’, attach vendor’s statement.
Refer to definitions on page 12.
If ‘Yes’, attach vendor’s statement.
Refer to definitions on page 12.
2. If ‘Yes’, did an applicant occupy the demolished home as a place of
residence before the demolition? Yes
No
If ‘Yes’, you are not eligible for
the grant as an owner of the new
home cannot have occupied the
demolished premises as a place of
residence before demolition.
Owner builder
1. Are you/will you be building a home to replace demolished premises? Yes
No
2. If ‘Yes’, did an applicant occupy the demolished home as a place of
residence before the demolition? Yes
No
If ‘Yes’, you are not eligible for
the grant as an owner of the new
home cannot have occupied the
demolished premises as a place of
residence before demolition.
OFH 001 | Application Form | November 2020 19 of 22
SECTION 4 Property and transaction details (cont.)
Purchase or construction price
Required for all transaction types:
ƒ Contract to purchase – Enter consideration shown on contract
ƒ Contract to build – Enter consideration shown on contract
ƒ Owner builder – Enter cost of construction. Do not include own labour costs.
Required when you are building your home under a Contract to Build.
Unencumbered value (land only)
ƒ Enter the unimproved land value,
ƒ Cross the appropriate box below for the type of evidence used.
ƒ Attach a copy of the evidence of the market value of the land at the time of signing the building contract (where more than one
document type is available, please provide the most recent).
Note: Rates and council valuations are not acceptable.
A copy of a current valuation by a suitably qualified valuer (includes bank valuation)
A copy of the stamped contract or transfer for the purchase of the land.
Required for Related Party transactions or Owner Builders.
Unencumbered value (house and land)
Evidence of the property’s total value dated within the last 12 months is required if you are purchasing your home from
a related or associated party or you built your home as an Owner Builder.
ƒ Enter the total value of the house and land,
ƒ Cross the appropriate box below for the type of evidence used, and

ƒAttach a copy of the evidence.
Stamped agreement of sale or transfer when the property was purchased which shows the dutiable amount within

the stamping details (Related Party transactions only) OR
Property Valuation by a suitably qualified valuer OR
Financial institution’s property valuation obtained for loan approval OR
Market appraisal by a registered real estate agent.
$ $ $
APPROVED AGENT AND REVENUE NSW USE ONLY
All evidence sighted Name of person sighting the evidence
Payment eligibility date (Enter settlement, completion or first draw down date only) (dd/mm/yyyy)
Note: For contracts to purchase only enter the settlement date specified in the exchanged contract or the actual date booked for settlement.

Date of contract (or if owner builder, date the foundations were laid) (dd/mm/yyyy)
Date of settlement (or if building, date of completion) (dd/mm/yyyy)
Note: If lodging with an approved agent, please estimate

SECTION 5 Payment details
Note:
ƒ If applying with Revenue NSW, the grant will be paid by electronic funds transfer into the account nominated below.
ƒ If you are applying with an approved agent, please do not complete the account details below as the grant will be paid through
the approved agent in accordance with your agreement.
Payment reference (optional): This reference will be shown
on the account statement, to assist in identifying the payment.
Account name (e.g. John & Jane Citizen)
Name of financial institution and branch
BSB number (must have 6 numbers) –
Account number (maximum of 9 numbers) * DO NOT include dashes or spaces
IMPORTANT – Please confirm the account details provided above are correct before lodging your application with
Revenue NSW.
OFH 001 | Application Form | November 2020 20 of 22
SECTION 6 Declaration by applicant(s)
1. I have completed the application form and I declare that all
copies of documents attached in support of this application
are a true copy of the original document.
2. I declare that I have not previously received and retained
the grant under the First Home Owner Grant (New Homes)
Act 2000, or a corresponding Act in another State or
Territory, either alone or together with any other person or
persons.
3. I declare that I have not owned a home or had a relevant
interest in a residential property within Australia prior to
1 July 2000.
4. I declare that I have not owned and occupied, for a
continuous period of at least six months, a residential
property within Australia in which I acquired a relevant
interest on or after 1 July 2000.
5. I declare that the interest I hold in the property is not held
subject to a trust.
6. I declare that at the commencement date of the eligible
transaction at least one applicant for the grant was a
permanent resident or an Australian citizen.
7. I declare that at least one applicant will be residing in
the home that is the subject of this application as their
principal place of residence for a continuous period of
at least six months commencing within 12 months of
completion of the eligible transaction, or the residence
requirement does not apply as an applicant was as at the
commencement date of the eligible transaction a member
of the permanent forces of the Australian Defence Force
and all applicants were enrolled on the NSW electoral roll.
8. I undertake to notify the Commissioner of any notifiable
event in writing relevant to the requirements under the
First Home Owner Grant (New Homes) Act 2000 within
14 days from the occurrence of that notifiable event.
9. I have read and understood the information prepared by
Revenue NSW relating to the conditions of eligibility.
I accept that if the conditions are not met, I may not be
entitled to receive or retain the grant.
10. I authorise Revenue NSW to collect, access and exchange
information about me to verify my proof of identity
information and to determine my eligibility for the First Home
Owners Grant with the approved agent (where applicable),
document issuing authorities, other State, Territory
and Australian Government agencies and commercial
organisations as permitted by law.
11. I understand that the approved agent is not authorised
by Revenue NSW to offer any advice or assistance on the
conditions of eligibility for the grant, or on the completion of
this application.
12. I authorise the approved agent to hold the grant until
completion of the eligible transaction and to repay the
grant to the Commissioner if the transaction is not
completed within 28 days of the date specified.
13. I declare that the total value of the property does not
exceed the cap amount as at the commencement date
of the eligible transaction for Contracts to Purchase and
Contracts to Build or as at the completion date of the
eligible transaction for a home built by an Owner Builder.
14. I authorise the Commissioner to address all correspondence
relating to this application to Applicant 1 at the
address nominated.
15. I acknowledge that I may be required to repay the grant, be
liable for penalties and may also be prosecuted for making
a false or misleading statement in or in connection with this
application for the grant.
16. I authorise Revenue NSW to deposit the grant into the
account nominated in Section 5 (ensure account details
are correct) or into the approved agent’s nominated
account when lodged with the approved agent.
Declaration
Under the First Home Owner (New Homes) Act 2000, it is an offence to give false or misleading information.
I declare that I have read and understood the above information and that the information provided is true correct in every particular.
Applicant 1
Name
Date (dd/mm/yyyy)
Applicant 2
OFH 001 | Application Form | November 2020 21 of 22
SECTION 7 Declaration by spouse/partner(s)
1. I declare that the spouse/partner details in Section 3,
in so far as they relate to me, are true and correct.
2. I declare that I have not previously received and retained the
grant under the First Home Owner Grant (New Homes) Act
2000 or a corresponding Act in another State or Territory,
either alone or together with any other person or persons.
3. I declare that I have not owned a home or had a relevant
interest in a residential property within Australia prior to
1 July 2000.
4. I declare that I have not owned and occupied for a
continuous period of six months a residential property within
Australia in which I acquired a relevant interest on or after
1 July 2000.
5. I authorise Revenue NSW to collect, access and exchange
information about me to verify my proof of identity
information and to confirm other details with the approved
agent (where applicable), document issuing authorities, other
State, Territory and Australian Government agencies and
commercial organisations as permitted by law. I recognise
that these checks may affect the applicant’s eligibility for the
First Home Owners Grant.
6. I acknowledge that I may be prosecuted and fined for
making a false or misleading statement on or in connection
with this application for the grant.
Spouse/partner of Applicant 1
Name
Date (dd/mm/yyyy)
Spouse/partner of Applicant 2
Providing false or misleading
information in this application
Providing false or misleading information to Revenue NSW is a
criminal offence. If it is determined that an applicant has provided
false or misleading information to obtain, or attempt to obtain
the grant, then prosecution action may be commenced.
Penalties
Revenue NSW, as part of its role in administering the First Home
Owner Grant (New Homes) Act 2000, conducts investigations
to ensure that applicants comply with the conditions of the Act.
If applicants receive the grant when they are not entitled, or do not
comply with the residence requirement, penalties of up to 100 per
cent may be imposed.
Lodgement of your application
ƒ Lodge with the approved agent who is providing your finance.
If you need the grant for settlement or any draw down/progress payment or within 12 months of the completion of
the eligible transaction.

ƒLodge with the Revenue NSW
Payment will not be made until after settlement or if building after the home is completed.

Note: Applications cannot be lodged with Revenue NSW until after the completion of the eligible transaction.
Declaration
Under the First Home Owner (New Homes) Act 2000, it is an offence to give false or misleading information.
I declare that I have read and understood the above information and that the information provided is true correct in every particular.
Privacy statement
Information collected from you on this form is required by Revenue NSW to determine if you have a liability or entitlement.
The information may be provided to third parties with your consent or as required or permitted by law. Revenue NSW will
correct or update your personal information at your request. Read more about privacy at www.revenue.nsw.gov.au
Contact details
1300 130 624* (Monday – Friday, 8.30 am – 5.00 pm) *Interstate clients please call (02) 7808 6200
www.revenue.nsw.gov.au first.home.benefits@revenue.nsw.gov.au Help in community languages is available
Postal address
Revenue NSW
PO Box 666,
Wollongong NSW 2520
© State of New South Wales through Revenue NSW, 2018. This work may be freely reproduced and distributed for most
purposes, however some restrictions apply. Read the copyright notice at www.revenue.nsw.gov.au or contact Revenue NSW.
OFH 001 | Application Form | November 2020 22 of 22
SECTION 8 Supporting documentation checklist
Note:
ƒ Please complete the checklist to ensure you have attached the required supporting documentation defined in the
lodgement guide. Attach these papers to this page.
ƒ Your application may be returned to you if not fully completed or all the required supporting documentation is not attached.
ƒ Additional documents may be requested after lodgement of your application.
Supporting documentation checklist
Note: Refer to the lodgement guide for the documentation required. Do not send original documents,
only send copies.
Proof of identity of all applicants and their spouse/partner
Applicant
to cross if
attached
Additional evidence
ƒ Change of name – type of document submitted
ƒ Separated – statutory declaration and supporting evidence
Contract to purchase a new home
ƒ a copy of your Contract for Sale, dated and signed by the vendor.
ƒ a title search showing the applicant(s) as the registered proprietors*.
ƒ evidence – first sale, never occupied.
ƒ list of renovations if substantially renovated.
Where there is no contract, or the sale of the property is between family members or related or
associated parties also attach:
ƒ a copy of the transfer, dated and signed by all parties
ƒ evidence that consideration has been paid*
ƒ evidence of total value of property (house and land).
Australian Defence Force residence exemption
Document confirming membership of the permanent forces
Transaction type
Contract to build a home
ƒ a copy of your contract to build, dated and signed by all parties
ƒ a title search showing the applicant(s) as the registered proprietor(s)*
ƒ a copy of the final inspection report or occupation certificate*
ƒ evidence of the unencumbered value (land only).
ƒ final statement/invoice from the builder.
Owner builder
ƒ a title search showing the applicant(s) as the registered proprietor(s)
ƒ a copy of the initial inspection report or approval from Council for the laying of foundations
ƒ a copy of the final inspection report or occupation certificate
ƒ a copy of receipts for the home totalling more than the grant amount
ƒ evidence of the total value of property (house and land).
* Not required if your application is lodged with an approved agent
Category 1 Type of document submitted /
Category 2* Type of document submitted /
Category 3* Type of document submitted /
Category 4* Type of document submitted /
Approved
agent or
Revenue
NSW use
only
Cross when
sighted
APPROVED AGENT AND REVENUE NSW USE ONLY
Name of person sighting the documentation above
Name of employer
Signature Date

Reference no: EM132069492

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