Questions for Sellers (KBS)PLEASE ENSURE ALL SECTIONS OF THIS FORM ARE ANSWERED AND COMPLETEAddress of property being sold:(Required)Please advise your preference to receiving our settlement documents.(Required) Via Docu-Sign (please note this is our preferred method) Via Email (we will email your documents to be printed signed and emailed back) Via Post (we will mail your documents for signing then returned to us via post) In office (attend our office to sign documents including verification of identity – additional fees may apply)As part of the settlement process all sellers must have their identity verified. Please advise your preference to complete your identity verification.(Required) Australia Post (attend post office - $49 per person) Scantek (totally online solution - $27.50 per person) In office (attend our office – $55 per person)Number of sellers on Contract?(Required) One Two Three FourSeller (1) - Individual or Corporation?(Required) Individual CorporationSeller (1) - Corporation Name and ACN(Required) Registered entity name ACN Seller (1) - Director's Mobile Phone Number:(Required)Seller (1) - Director's Email:(Required) Seller (1) - Full Legal Name(Required) Prefix (Mr/Mrs/Miss/Etc) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Seller Last Name / Surname (1)(Required) Last Name / Surname Seller First Name (1)(Required) First Name Seller Middle Name/s (1) Middle Name/s Have you changed your name since you purchased the Property(Required) Yes NoSeller (1) - Previous Name(Required) First Middle Last Seller (1) - Date of Birth:(Required) Day Month YearSeller (1) - Mobile Phone Number:(Required)Seller (1) - Email:(Required) Seller (2)- Individual or Corporation?(Required) Individual CorporationSeller (2) - Corporation Name and ACN(Required) Registered entity name ACN Seller (2) - Director's Mobile Phone Number:(Required)Seller (2) - Director's Email:(Required) Seller Name (2) - Full Legal Name(Required) Prefix (Mr/Mrs/Miss/Etc) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Name(Required) Last Name / Surname Name(Required) First Name Name Middle Name/s Have you changed your name since you purchased the Property(Required) Yes NoSeller (2) - Previous Name(Required) First Middle Last Seller (2) - Date of Birth:(Required) Day Month YearSeller (2) - Mobile Phone Number:(Required)Seller (2) - Email:(Required) Seller (3) - Individual or Corporation?(Required) Individual CorporationSeller (3) - Corporation Name and ACN(Required) Registered entity name ACN Seller (3) - Director's Mobile Phone Number:(Required)Seller (3) - Director's Email:(Required) Seller (3) - Full Legal Name(Required) Prefix (Mr/Mrs/Miss/Etc) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Name(Required) Last Name / Surname Name(Required) First Name Name Middle Name/s Have you changed your name since you purchased the Property(Required) Yes NoSeller (3) - Previous Name(Required) First Middle Last Seller (3) - Date of Birth:(Required) Day Month YearSeller (3) - Mobile Phone Number:(Required)Seller (3) - Email:(Required) Seller (4) - Individual or Corporation?(Required) Individual CorporationSeller (4) - Corporation Name and ACN(Required) Registered entity name ACN Seller (4) - Director's Mobile Phone Number:(Required)Seller (4) - Director's Email:(Required) Seller (4) - Full Legal Name(Required) Prefix (Mr/Mrs/Miss/Etc) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Name(Required) Last Name / Surname Name(Required) First Name Name Middle Name/s Have you changed your name since you purchased the Property(Required) Yes NoSeller (4) - Previous Name(Required) First Middle Last Seller (4) - Date of Birth:(Required) Day Month YearSeller (4) - Mobile Phone Number:(Required)Seller (4) - Email:(Required) Who is the best person for us to contact during the course of the transaction?(Required)Please note this refers to if at any point you will be unreachable via phone or email.... You do not need to attend settlement.Will any Sellers be absent during settlement? Yes NoIf yes, Who?Date absent from: Day Month YearDate absent to: Day Month YearContact Number while absent:Contact Email while absent: Mailing address for all parties DURING settlement:(Required) Street Address City State Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please note that our correspondence will be sent via email unless otherwise instructed.Mailing address for all parties AFTER settlement:(Required) Street Address City State Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country (please note that should your address change at anytime after settlement from what you have advised us here it will be your responsibility to notify all relevant rating authorities)Did you occupy the property as your usual place of residence at the 30th June?(Required) Yes NoIf yes, would you like us to send information to sort out your connections and disconnections of electricity, gas, phone, internet and pay tv? It is a free service we offer you with no lock in contract or exit fees. Yes NoFast Connect is Australia’s leading connections service provider servicing customers moving home anywhere in Australia. With Fast Connect, customers can have their applications lodged to set up their new electricity, gas, phone, internet and pay TV accounts, and close old accounts at their old address. https://www.fastconnect.net.au/newapp/applicationIs the property currently rented?(Required) Yes NoName of Letting Agent:(Required)Contact Number:Will the property be vacant at settlement?(Required) Yes NoIf your property is part of a Strata is a Strata Management company handling strata levies and payments? Yes NoIf yes, please provide the Strata Management company details:If no, is there Joint Insurance over all the units in the Strata? Yes NoIf yes, please provide a copy of the insurance to your Conveyancer and advise how much you paid below?Does your property comply with current RCD and smoke alarm regulations?(Required) Yes NoIf you are planning to sell your home, RCDs must be fitted to protect all circuits supplying power points and lights before the land title is transferred. The Building Regulations 2012 (the Regulations) in Western Australia require the owner of a dwelling to have compliant smoke alarms installed prior to the sale or transfer of ownership of the dwelling.Is your property selling for $750k or more?(Required) Yes NoIf yes, are you able to apply for the clearance certificate yourself (see below note): Yes NoIt is a requirement that all sellers with a purchase price of $750k and above provide a clearance certificate. If you do not have access or the ability to complete the form online, the application can be done via post. You should receive the certificate within days of lodging the application however, if there are irregularities and manual processing is required, it can take up to 28 days. The certificate is valid for 12 months, no application fee is required. Please complete and lodge this form as soon as possible. Should you not be able to provide this clearance certificate to the Buyer prior to settlement, we will be required to credit the Buyer 12.5% of the purchase price which will be paid to the Australian Taxation Office (ATO). https://www.ato.gov.au/FRWT_Certificate.aspxIf no, would you like us to apply on your behalf? Yes (Cost for us to complete $220) NoBy ticking Yes to this question your Authorise us to lodge the Application with the ATO and declare that all information provided is correct.If yes, please answer the following questions: Has your residency status changed since your last tax return or will it change before you sell the asset? Yes NoHave you lodged an Australian Tax return for the last two years? Yes NoAre you holding the property on behalf of a foreign resident or on behalf of other entities that include foreign resident? Yes NoPlease provide your Tax File NumberAre you aware of any Caveats lodged on your property?(Required) Yes NoPlease note that if there is a caveat over your property, this is your responsibility to organise removal prior to settlement and provide us with the applicable details ASAP to avoid delays.Is the property mortgaged?(Required) Yes NoHave you completed your discharge authority?(Required) Yes NoIf you have a Mortgage registered over the property we highly recommend you contacting the appropriate parties to advise the property has now sold. Your bank will require you to sign and complete a discharge authority to initiate the discharge/release of mortgage process, if possible if you can provide us with a copy of the fully executed form.If yes, Mortgagee (Bank) Name:(Required)If you have a Mortgage registered over the property we highly recommend you contacting the appropriate parties to advise the property has now sold. Your bank will require you to sign and complete a discharge authority to initiate the discharge/release of mortgage process, if possible if you can provide us with a copy of the fully executed form.Is this property being used as additional security for another loan?(Required) Yes NoIf yes: (this may result in a partial discharge and require your bank to value the other property to ensure enough equity for release – please contact your bank ASAP)Address of the other property secured by your mortgage:(Required)Approximate Payout of Loan:Will you be requesting your mortgaging bank to collect full proceeds at settlement:(Required) Yes NoPlease note this only applies if you have another bank account with the same bank to whom your mortgage is currently with, your mortgaging bank cannot transfer to other banks outside of their company.Bank Account DetailsOccasionally our office will need to retain funds from you at settlement for rates & taxes not available at the time of settlement. Please provide bank details for any refunds due back to be deposited into. WARNING: If you receive an email or text from us requestion funds you MUST call us to confirm. Our preferred method of obtaining and providing account details will be through PEXA key which will be set up by your conveyancer.Bank:Account Name:BSB:Account Number:Check this box to appoint KB Settlements to act and then submit the form(Required) Halesworth Holdings Pty Ltd (Katie Byrne Settlements or KBS) is hereby appointed to act in the purchase of the property named in this form. I/we agree to pay the settlement fee and all disbursements to KBS as quoted. If the transaction does not settle, or you instruct us to cease acting, for any reason whatsoever I/we agree to pay 50% of the quoted fee plus any disbursements to KBS. I/we authorise KBS to act for each other party to the transaction. KBS will advise immediately should any conflict of interest arise between the parties. I/we authorise KBS to draw on funds received by them into their trust account as and when necessary to pay KBS fees and disbursements and to make any payments related to settlement. I/we authorise KBS to attend to the stamping and registration of documents, to open or join a PEXA workspace and to make any minor alterations to documents which may be necessary to effect their registration. I/we hereby authorise and request that my/our financial institution/s release any documentation and financial information required for the settlement to KBS. I/we hereby authorise KBS to release to financial institution/s any documents requested by that financial institution for the purposes of the settlement. I/we are aware that some transactions require additional work, which only becomes evident after we have received all the necessary documentation, all additional fees will be disclosed to you if they are applicable.