First Home—New Home Exemption or Concession from Duty Application Form and Lodgement Guide

This is an application form and lodgement guide for First Home—New Home Exemption or Concession from Duty. It provides information on eligibility criteria, lodging details, property and transaction details, and purchaser details. The form applies to agreements or transfers executed between 1 January 2012 and 30 June 2017.

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Note:
ƒ
This form applies to agreements or transfers executed
between 1 January 2012 and 30 June 2017.
ƒ
For agreements or transfers executed on or after 1
July 2017 go to the First Home Buyers Assistance
Scheme Application Form and Lodgement Guide.
ƒ
This form must be completed by all eligible
purchasers and their spouse.
ƒ
Before completing the application, each person
should read the information contained within the
form and the First Home Benefits factsheet.
ƒ
Where a First Home—New Home application is
approved and a new purchaser is subsequently
added or substituted prior to settlement, a new
application form will need to be completed by the
additional or substituted purchaser and their spouse
ƒ
Eligible purchasers claiming an exemption
or concession, together with their spouse,
must provide Proof of Identity (POI) documentation
at the time of lodgement. See page 3.
ƒ
Additional evidence may be required at a later
date to substantiate the claim for the exemption
or concession.
ƒ
Where applications are found to be false, a
substantial penalty or prosecution may apply.
Lodgement guide
The information in this lodgement guide is for general guidance only.
Before lodging the application, remove pages 1 to 3 and keep for your reference.
How to apply
ƒ
You may apply by lodging an application with your solicitor or conveyancer, or
ƒ
Through any branch of the Office of State Revenue.
ƒ
All relevant documents (agreement for sale and/or transfer) must be submitted at the time of lodgement.
Contact details
Application Form
and Lodgement Guide
First Home—New Home
Exemption or Concession from Duty
ODA 066 | Lodgement Guide | June 2017
Postal Address
Parramatta
GPO Box 4042, Sydney NSW 2001
DX 456 Sydney
Wollongong
PO Box 666, Wollongong NSW 2520
DX 5245 Wollongong
Phone: [phone]* (8.30 am – 5.00 pm, Monday to Friday)
Website: www.osr.nsw.gov.au
Email: [e-mail]
*Interstate clients call [phone]
Help in community languages is available.

ODA 066 | Lodgement Guide | June 2017 2 of 11
Completion
An agreement or transfer is completed when a purchaser
becomes entitled to possession of the home and, if the
interest acquired is registrable under a law of the State,
the purchaser’s interest is registered.
Dutiable value
The greater of the consideration (purchase price) for the
dutiable transaction and the value (determined without
regard to any encumbrance) of the dutiable property.
Exclusive Occupancy
Land is an exclusive occupancy if the person acquiring
the land will be entitled to occupy the home as a place of
residence to the exclusion of other persons who occupy
the other home or homes built on the land.
Terms used
Australian citizen
An Australian citizen as defined in the Australian Citizenship
Act 1948.
Certified Copy
A true copy of an original document that has been sighted
and certified by an acceptable person* and noted as
follows: ‘I certify that I have sighted the original document
and this is a true copy of it’. This certification must have
the certifier’s name, title, registration number (where
applicable) and be signed and dated.
*An acceptable person who may certify documents for
the purpose of the First Home—New Home scheme are:
legal practitioner, justice of the peace (JP), magistrate,
notary public, police officer, dentist, veterinary practitioner,
pharmacist, certified practising accountant, licenced
conveyancer, Commissioner for Declarations, member
of parliament, minister of religion, medical practitioner,
officers of OSR.
Eligible purchasers
An eligible purchaser is a purchaser who has not,
and whose spouse has not:
ƒ
at any time owned (either solely or with someone else)
residential property in Australia other than property
owned solely as trustee or executor
ƒ
previously received an exemption or concession under
the First Home—New Home scheme.
Eligibility criteria
To be eligible for First Home—New Home:
ƒ
the agreement or transfer must be for the whole
of the property or, if the property is a parcel of
land on which two or more homes are built or
are being built, for that part of the land that is
an exclusive occupancy
ƒ
all eligible purchasers must be natural persons
(ie not a company or trust) and at least 18 years
of age at the date of the agreement or transfer
Residence requirement
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The home must be occupied by at least one
of the eligible purchasers as his or her principal
place of residence for a continuous period of
at least 6 months, with that occupation starting
within 12 months after completion of the agreement
or transfer. Where at least one eligible purchaser was
a member of the permanent forces of the Australian
Defence Force and all eligible purchasers were
enrolled on the NSW electoral roll as at the date of the
agreement or transfer, the residence requirement does
not apply
Note: If the spouse of a purchaser has previously owned
residential property or previously received an exemption
or concession under the First Home—New Home scheme,
the purchaser is not eligible for the full or proportionate
concession regardless of whether the spouse is or is not
also a purchaser.
ƒ
at least one eligible purchaser must be an Australian
citizen or permanent resident at the date of the
agreement or transfer
ƒ
eligible purchasers must together acquire an interest
of at least 50 per cent.
Note: If persons who are not eligible purchasers
are acquiring more than 5 per cent but not more
than 50 per cent, the concession is reduced in proportion
to the interest acquired by the person(s) who are not
eligible purchasers.
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In the case of vacant land, the Chief Commissioner
must be satisfied the vacant block of land is intended
to be used as the site of a home to be occupied
as the principal place of residence of one of the
eligible purchasers.

ODA 066 | Lodgement Guide | June 2017 3 of 11
Supporting evidence
Australian Defence Force residence
requirement exemption
If you are seeking exemption from the Residence
Requirement, provide a certified copy of a document
issued by the Australian Defence Force which shows that
at least one of the eligible purchasers was a member of
the permanent forces of the Australian Defence Force, at
the date of the agreement or transfer.
Proof of identity:
Each eligible purchaser and their spouse must satisfy
each POI category. As a minimum, separate documents
must be provided for categories 1, 2 and 3 for each
person. A category 4 document is only required where the
current residential address is not shown in a category
2 or 3 document.
For a complete list of acceptable documents, refer to
the First Home Benefits – Proof of Identity Documents
information sheet available from our forms page at
www.osr.nsw.gov.au
If you are unable to provide a document for a POI
category contact OSR to discuss your circumstances.
When lodging your application with your solicitor,
conveyancer or in person with OSR you will need to
provide certified copies of all required documents.
Note: If the name on any of the documents presented is
different to the name of the eligible purchaser or spouse,
evidence of a change of name must be provided, e.g.
certified copy of marriage certificate, divorce certificate,
change of name certificate, etc.
© State of New South Wales through the Office of State Revenue, 2016. This work may be freely reproduced and distributed for most purposes, however some re
apply. Read the copyright notice at www.osr.nsw.gov.au or contact OSR.
Office of State Revenue: ISO 9001 – Quality Certified | Department of Finance, Services & Innovation
Terms used (cont.)
Permanent forces of the Australian Defence Force
Comprises of members of the Regular Army, the
Permanent Navy or the Permanent Air Force. It does not
include a member of the Army Reserve, Naval Reserve or
Air Force Reserve.
Permanent resident
A person who holds a permanent residency visa
(under Section 30 of the Migration Act 1958 of the
Commonwealth (Cwth)) or a New Zealand citizen who is
the holder of a special category visa (under Section 32 of
the Migration Act 1958 of the Cwth).
Principal place of residence
The home you primarily reside in.
Purchaser
Includes a transferee.
Privacy statement
Information collected from you on this form is required by the Office of State Revenue (OSR) to determine if you have a liability or entitlement. The information
provided to third parties with your consent or as required or permitted by law. OSR will correct or update your personal information at your request. Read mor
privacy at www.osr.nsw.gov.au
Residential property
Land on which there is a building that is lawfully occupied
as a place of residence, or suitable for occupation as a
place of residence, or a company title dwelling.
Spouse
The person to whom the applicant is married or living
with as a couple in a de facto relationship (including same
sex relationships) as defined in the Property (Relationships)
Act 1984.
Note: There is no minimum period of cohabitation needed
to establish a de facto relationship under the Property
(Relationships) Act 1984.
Title reference
The way the land is identified or referred to in the title
documents, for example, folio identifier, volume and folio,
lot number and deposited or strata plan number, book
and number.

ODA 066 | Application Form | June 2017 4 of 11
First Home—New Home
Exemption or Concession from Duty
Application Form
Note:
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This application must be completed in full and signed in
blue or black ink.
ƒ
Read the lodgement guide for explanations of terms used.
ƒ
There are significant penalties for making a false or misleading
statement, as well as possible prosecution.
ƒ
Please answer all questions and crossX the appropriate boxes.
ƒ
Your application might not be approved, and the documents may be
assessed to full duty, if all supporting evidence is not lodged.
Application ID
SECTION 1 Eligibility criteria
Note:
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Eligibility is determined at the date of the agreement or transfer.
ƒ
All applicants and their spouse must be considered when answering eligibility questions.
Eligibility checklist
Has each eligible purchaser and their spouse never owned residential property in Australia either
solely or with someone else?
Note: The holder of a leasehold interest by the Commonwealth in ACT residential property is
taken to have owned that property.
Will this be the first time each eligible purchaser or their spouse has received an exemption or
concession under the First Home—New Home scheme?
Will the property be occupied by at least one of the eligible purchasers as their principal place of
residence for a continuous period of 6 months commencing within 12 months from the date of
completion of the agreement or transfer, or in the case of vacant land, one of the eligible
purchasers intends to occupy a home on the site?
Note: You do not need to answer this question if at least one of the eligible purchasers was a
member of the permanent forces of the Australian Defence Force and all eligible purchasers were
enrolled on the NSW electoral roll as at the date of the agreement or transfer.
At the date of the agreement or transfer, was at least one of the eligible purchasers an Australian
citizen or permanent resident?
At the date of the agreement or transfer, were all eligible purchasers over the age of 18 years?
Yes No
Yes No
Yes No
Yes No
Yes No
If you answered ‘YES’ to all the above questions, you may be entitled to an exemption or
concession under First Home—New Home.

ODA 066 | Application Form | June 2017 5 of 11
SECTION 4 Purchaser details
A purchaser who is the spouse of an eligible purchaser must be listed as an eligible purchaser, not an ‘Other pur
Each joint purchaser should be listed separately. For example, list 2 joint tenants as each having a 50 per cent in
Eligible purchaser’s name(s) Interest being acquired
(to 2 decimal places)
%
%
%
%
Eligible purchasers’ interest (subtotal) %
Other purchaser’s name(s)
%
%
Other purchasers’ interest (subtotal) %
100.00 %
SECTION 2 Lodging details
Applicant’s name Agent number (if registered)
DX number Location
Lodging party name
Postal address
Suburb State Postcode
SECTION 3 Property and transaction details
Transaction details
Date of agreement for sale or transfer(dd/mm/yyyy)
New home Vacant land
Dutiable value $ Vendor’s name
* If a new home, date of occupation or intended occupation
of the property as a principal place of residence(dd/mm/yyyy)
Property 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.
Unit/
Street no. Street name
Suburb/town State N S W Postcode
Note: If the other purchasers’ interests total 5 per cent or less, the eligible purchasers are entitled to the full Firs
New Home exemption or concession. If the first home buyer’s spouse has previously owned a home or received
under the First Home – New Home scheme, the first home buyer will not be eligible for benefits regardless of wh
spouse is also a purchaser.
Ross Cooper
NSW
480000
Ross Cooper 6
Melissa Cooper 6
12

ODA 066 | Application Form | June 2017 6 of 11
SECTION 5 Eligible purchaser details
Note:
ƒ
All eligible purchasers must complete this section.
ƒ
If there are more than two eligible purchasers, please complete and attach an additional application form.
ƒ
Each eligible purchaser must sign the ‘Declaration by eligible purchaser’ in Section 7.
Eligible purchaser 1 (Contact person)
Title Mr Mrs Miss Ms Dr
Middle name(s)
First name
Family name
Name on birth certificate
(if different from above)
First name
Middle name(s)
Family name
Have you ever used any
name other than the name(s)
declared above?
Yes list name(s) below No
Date of birth(dd/mm/yyyy)
Place of birth State/Territory
Country
Daytime phone number ( )
Email address
Current residential addressStreet no.
Street name
Suburb/town
State Postcode
Address for service or notices
(if different from above)
Street no.
Street name
Suburb/town
State Postcode
Eligible purchaser 2
Mr Mrs Miss Ms Dr
First name
Middle name(s)
Family name
Yes list name(s) below No
State/Territory
Country
( )
Street no.
Street name
Suburb/town
State Postcode
Note: Please select preferred contact address:Email Current residential
If you are a member of the
permanent forces of the
Australian Defence Force,
select which branch
you serve(d)
Regular Army
Permanent Navy
Permanent Air Force
Do you have a spouse? Yes No
Note: A spouse includes de facto partners. If your spouse or de facto partner is not an eligible purchaser, they m
complete Section 6.
Regular Army
Permanent Navy
Permanent Air Force
Yes No
Ross
NSW
Australia
02 9400 9900
[e-mail]
Unit 2, 27
High St.
Mackville
NSW 2080
Melissa
NSW
Australia
02 9400 900
[e-mail]
Unit 2, 27
High St.
Mackville
NSW 2080

ODA 066 | Application Form | June 2017 7 of 11
SECTION 6 Spouse details
Note:
ƒ
This section must be completed where the spouse of an eligible purchaser is not an eligible purchaser in Sec
of the application.
ƒ
A spouse of an eligible purchaser must sign the spouse declaration in Section 8.
Spouse of eligible purchaser 1
Title Mr Mrs Miss Ms Dr
Middle name(s)
First name
Family name
Name on birth certificate
(if different from above)
First name
Middle name(s)
Family name
Have you ever used any
name other than the name(s)
declared above?
Yes list name(s) below No
Date of birth(dd/mm/yyyy)
Place of birth State/Territory
Country
Daytime phone number ( )
Spouse of eligible purchaser 2
Mr Mrs Miss Ms Dr
First name
Middle name(s)
Family name
Yes list name(s) below No
State/Territory
Country
( )

ODA 066 | Application Form | June 2017 8 of 11
SECTION 7 Declaration by eligible purchaser(s)
Eligible purchaser 1
I, , do solemnly and sincerely declare that:
1. I have completed the application form and attached
all relevant documents in support of this application.
2. I have never owned residential property in Australia,
either solely or with someone else.
Note: Holders of ACT residential leases to the
Commonwealth are taken to be owners of
that property.
3. I have not previously received an exemption or
concession under the First Home—New Home
scheme.
4. The interest I hold in the property is not held subject
to a trust.
5. At the date of the agreement or transfer, at least one
eligible purchaser was a permanent resident or an
Australian citizen.
6. At least one eligible purchaser will occupy the home
that is the subject of this application as their
principal place of residence for a continuous period
of six months commencing within 12 months from
the date of completion of the agreement or transfer
or, in the case of vacant land, one of the eligible
purchasers intends to occupy a home on the site.
Or at least one of the eligible purchasers was a
member of the permanent forces of the Australian
Defence Force and all the eligible purchasers were
enrolled on the NSW electoral roll as at the date of the
agreement or transfer.
7. I undertake to notify the Commissioner if I fail to meet
the residence requirement.
8. I have read and understood the information prepared
by OSR relating to the conditions of eligibility. I accept
that if the conditions are not met, I may not be entitled
to retain the concession or exemption.
9. I authorise OSR to access and exchange information
about me to verify my eligibility for First Home—New
Home with State, Territory and Australian Government
agencies and commercial organisations as permitted
by law.
10. I acknowledge that I may be required to repay the
concession or exemption or be liable for penalties
and may also be prosecuted for making a false or
misleading statement in or in connection with
this application.
I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of
the Oaths Act 1900
Declared atPlace
On date
(dd/mm/20yy) 2 0
Signature of declarant
in the presence of an authorised witness, who states:
I, Name of authorised witness
a
Qualification of authorised witness
certify the following matters concerning the making of this
statutory declaration by the person who made it (*please cross out
any text that does not apply):
1. *I saw the face of the person OR
*I did not see the face of the person because the person was
wearing a face covering, but I am satisfied that the person
had a special justification for not removing the covering, and
2. *I have known the person for at least 12 months OR
*I have not known the person for at least 12 months, but I have
confirmed the person’s identity using an identification document
and the document I relied on was
(Describe identification document relied on)
Signature of authorised witness
Date
(dd/mm/20yy) 2 0
Ross Cooper
NSW

ODA 066 | Application Form | June 2017 9 of 11
SECTION 7 (cont.) Declaration by eligible purchaser(s)
Eligible purchaser 2
I, , do solemnly and sincerely declare that:
1. I have completed the application form and attached
all relevant documents in support of this application.
2. I have never owned residential property in Australia,
either solely or with someone else.
Note: Holders of ACT residential leases to the
Commonwealth are taken to be owners of
that property.
3. I have not previously received an exemption or
concession under the First Home—New Home
scheme.
4. The interest I hold in the property is not held subject
to a trust.
5. At the date of the agreement or transfer, at least one
eligible purchaser was a permanent resident or an
Australian citizen.
6. At least one eligible purchaser will occupy the home
that is the subject of this application as their
principal place of residence for a continuous period
of six months commencing within 12 months from
the date of completion of the agreement or transfer
or, in the case of vacant land, one of the eligible
purchasers intends to occupy a home on the site.
Or at least one of the eligible purchasers was a
member of the permanent forces of the Australian
Defence Force and all the eligible purchasers were
enrolled on the NSW electoral roll as at the date of the
agreement or transfer.
7. I undertake to notify the Commissioner if I fail to meet
the residence requirement.
8. I have read and understood the information prepared
by OSR relating to the conditions of eligibility. I accept
that if the conditions are not met, I may not be entitled
to retain the concession or exemption.
9. I authorise OSR to access and exchange information
about me to verify my eligibility for First Home—New
Home with State, Territory and Australian Government
agencies and commercial organisations as permitted
by law.
10. I acknowledge that I may be required to repay the
concession or exemption or be liable for penalties
and may also be prosecuted for making a false or
misleading statement in or in connection with
this application.
I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of
the Oaths Act 1900
Declared atPlace
On date
(dd/mm/20yy) 2 0
Signature of declarant
in the presence of an authorised witness, who states:
I, Name of authorised witness
a
Qualification of authorised witness
certify the following matters concerning the making of this
statutory declaration by the person who made it (*please cross out
any text that does not apply):
1. *I saw the face of the person OR
*I did not see the face of the person because the person was
wearing a face covering, but I am satisfied that the person
had a special justification for not removing the covering, and
2. *I have known the person for at least 12 months OR
*I have not known the person for at least 12 months, but I have
confirmed the person’s identity using an identification document
and the document I relied on was
(Describe identification document relied on)
Signature of authorised witness
Date
(dd/mm/20yy) 2 0
Ross Cooper
NSW

ODA 066 | Application Form | June 2017 10 of 11
SECTION 8 Declaration by spouse
Spouse of eligible purchaser 1
I, , do solemnly and sincerely declare that:
1. The spouse details in section 6, in so far as they relate
to me, are true and correct.
2. I have never owned residential property in Australia,
either solely or with someone else.
Note: Holders of ACT residential leases to the
Commonwealth are taken to be owners of that
property.
3. I have not previously received an exemption or
concession under the First Home—New Home scheme.
4. I authorise OSR to access and exchange information
about me to verify the eligibility of the purchaser(s)
making this application with State, Territory and
Australian Government agencies and commercial
organisations as permitted by law.
5. I acknowledge that I may be prosecuted and fined
for making a false or misleading statement on or in
connection with this application.
Spouse of eligible purchaser 2
I, , do solemnly and sincerely declare that:
I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of
the Oaths Act 1900
1. The spouse details in section 6, in so far as they relate
to me, are true and correct.
2. I have never owned residential property in Australia,
either solely or with someone else.
Note: Holders of ACT residential leases to the
Commonwealth are taken to be owners of that
property.
3. I have not previously received an exemption or
concession under the First Home—New Home scheme.
4. I authorise OSR to access and exchange information
about me to verify the eligibility of the purchaser(s)
making this application with State, Territory and
Australian Government agencies and commercial
organisations as permitted by law.
5. I acknowledge that I may be prosecuted and fined
for making a false or misleading statement on or in
connection with this application.
I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of
the Oaths Act 1900
Declared at Place
On date
(dd/mm/20yy) 2 0
Signature of declarant
in the presence of an authorised witness, who states:
I,
Name of authorised witness
a Qualification of authorised witness
certify the following matters concerning the making of this
statutory declaration by the person who made it (*please cross out
any text that does not apply):
1. *I saw the face of the person OR
*I did not see the face of the person because the person was
wearing a face covering, but I am satisfied that the person
had a special justification for not removing the covering, and
2. *I have known the person for at least 12 months OR
*I have not known the person for at least 12 months, but I have
confirmed the person’s identity using an identification document
and the document I relied on was
(Describe identification document relied on)
Signature of authorised witness
Date
(dd/mm/20yy) 2 0
Declared at Place
On date
(dd/mm/20yy) 2 0
Signature of declarant
in the presence of an authorised witness, who states:
I,
Name of authorised witness
a Qualification of authorised witness
certify the following matters concerning the making of this
statutory declaration by the person who made it (*please cross out
any text that does not apply):
1. *I saw the face of the person OR
*I did not see the face of the person because the person was
wearing a face covering, but I am satisfied that the person
had a special justification for not removing the covering, and
2. *I have known the person for at least 12 months OR
*I have not known the person for at least 12 months, but I have
confirmed the person’s identity using an identification document
and the document I relied on was
(Describe identification document relied on)
Signature of authorised witness
Date
(dd/mm/20yy) 2 0
Ross Cooper
NSW

ODA 066 | Application Form | June 2017 11 of 11
SECTION 9
Providing false or misleading
information in this application
Providing false or misleading information to OSR is
a criminal offence. If it is determined that an applicant
has provided false or misleading information to obtain,
or attempt to obtain an exemption or concession, then
prosecution action may be commenced.
SECTION 10 Supporting documentation checklist
Note:
ƒ
To ensure your application is processed in a timely
manner, make sure the application is fully completed,
signed and dated.
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.
Proof of identity of all eligible purchasers and their spouse
Eligible purchaser 1 Spouse 1
Applicant
to cross if
attached
Category 1 Type of document submitted /
Category 2 Type of document submitted /
Category 3 Type of document submitted /
Category 4 Type of document submitted /
ƒ
a Decree Nisi, a marriage or death certificate or change of name certificate
ƒ
a statutory declaration for those who are separated.
Eligible purchaser 2 Spouse 2
Applicant
to cross if
attached
Category 1 Type of document submitted /
Category 2 Type of document submitted /
Category 3 Type of document submitted /
Category 4 Type of document submitted /
ƒ
a Decree Nisi, a marriage or death certificate or change of name certificate
ƒ
a statutory declaration for those who are separated.
Penalties
OSR, as part of its role in administering the First Home—
New Home scheme conducts investigations to ensure
that applications comply with the conditions of the Act.
If applicants receive the exemption or concession from
duty when they are not entitled, or if they do not comply
with the residence requirement, interest and penalties
may be imposed.
ƒ
Your application may be returned to you if not fully
completed or if all the required supporting information
is not attached.
ƒ
Additional documents may be requested after
lodgement of your application.
ƒ
Refer to the lodgement guide for the
documentation required.
Valid Proof of Applicant's I Valid Proof of Applicant's
Latest 3 month's Salary Slip Latest 3 month's Salary Sli
Current Employment Certifi Current Employment Certi
Latest 6 month's statement f Latest 6 month's statement