First Home Owner Grant
TREASURY AND FINANCE
Section 6: Declaration by applicant
1. I have completed the application form and attached all relevant documents required in the Checklist in
support of this application.
2. I have not previously received and retained a grant under the
First Home Owner Grant Act 2000 or a
corresponding Act in another state or territory, either alone or together with any other person, and to
the best of my knowledge nor has my spouse/de facto partner.
3. I have not owned or held a relevant interest in a residential property within Australia, either alone or
together with any other person, prior to 1 July 2000 and to the best of my knowledge, nor has my
spouse/de facto partner.
4. I have not occupied as an owner, a residential property within Australia in which I acquired, either
alone or together with any other person, a relevant interest on or after 1 July 2000, and to the best of
my knowledge, nor has my spouse/de facto partner.
5. At the date of making this application, at least one (1) applicant is a permanent resident or an
Australian citizen.
6. I understand that at least one applicant must reside in 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
of the completion date of the eligible transaction.
7. I undertake to notify the Commissioner of any notifiable event (see Section 10 of the Guide to the
application) in writing, relevant to the requirements under
the First Home Owner Grant Act 2000, and repay
the amount of the grant within 30 days from the occurrence of that notifiable event.
8. I authorise TRO to access and exchange information about me to verify my eligibility for the FHOG
with the approved agent (where applicable), other state, territory and Australian Government agencies
and commercial organisations as permitted by law.
9. I understand that the approved agent is not authorised by TRO to offer any advice or assistance on the
conditions of eligibility for the FHOG, or on the completion of this application.
10. I authorise TRO to deposit the FHOG 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.
11. I authorise the approved agent to hold the FHOG until the completion date of the eligible transaction
and to repay the FHOG to the Commissioner if the transaction is not completed within 28 days of the
date specified.
12. I authorise the Commissioner to address all correspondence relating to this application to Applicant 1
at the address nominated.
13. I have read and understood this application form and guide to the application, and I accept that if the
conditions of eligibility are not met, I may not be entitled to receive or retain the FHOG.
14. I acknowledge that I may be required to repay the FHOG, be liable for penalties and interest, and may
also be prosecuted for making a false or misleading statement on or in connection with this application.
15. I solemnly and sincerely declare that this declaration, the information in this application and the
supporting documents provided are true and correct, and I make this
solemn declaration by virtue of the
Oaths
, Affidavits and Declarations Act 2010 (NT) knowing it is an offence to make a declaration that is
false in any material particular and for which a penalty of three (3) years imprisonment is provided.
Declared at ____________________________ on the____ day of _________________ 20___
Applicant 1 Applicant 2
Name Name
Date Date