expression of interest

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EXPRESSION OF INTEREST VERONA

Project Marketing PO Box 10164 Brisbane QLD 4000

Lot:

Ph: (07) 3236 4075 Email: [email protected]

Stage:

Date:

Post Contracts To: Purchaser

Land Price:

Land Deposit:

Other (Specify):

Build Price:

Build Deposit:

Attn:

Total Price:

Total Deposit:

Address:

Purchaser Details

Purchasers Solicitor

*Please type details into form fields

Purchaser 1

Purchaser 2

Will you be an Owner Occupier or Investor?

Owner Occupier

Investor

Will you be an Owner Occupier or an Investor?

Owner Occupier

Investor

Are you an Overseas Investor?

Yes

No

Are you an Overseas Investor?

Yes

No

Subject to Finance?

Yes

No

Subject to Finance?

Yes

No

Entity Name:

Entity Name:

Directors Full Name/s:

Directors Full Name/s:

ACN/ABN:

ACN/ABN: If the investor is a company, please ensure all Directors names are listed.

Mr/Mrs/Ms

Mr/Mrs/Ms

First Name:

First Name:

Middle Name:

Middle Name:

Surname:

Surname:

Address

Address

Suburb

Suburb

State

Post Code:

State

Post Code:

Country:

Country:

Phone:

Phone:

Mobile:

Mobile:

Email:

Email:

Purchaser's Solicitor Details Company:

Phone:

Contact:

Mobile:

Postal Address:

Fax:

Suburb:

Email:

State:

Postcode:

Vendor's Solicitor Details Firm: Address:

Contact: Phone: Email:

McInnes Wilson Lawyers Level 23, Central Plaza One, 345 Queen Street Brisbane QLD 4000

Wally Bennett (07) 3231 0600 [email protected]

Deposit Details Bank: Acc Name: BSB: Acc No.: Swift Code: Ref:

Total Deposit 10%:

Land Deposit Commonwealth Bank McInnes Wilson Lawyers Pty Ltd Trust Account 064 000 1248 0120 CTBAAU2S Surname/Lot#/Verona/Stage# Initial Deposit: $ 1,000.00

Bank: Acc Name: BSB: Acc No.: Swift Code: Ref: 5% Deposit:

Balance Deposit due:

Build Deposit Westpac Orbit Homes (Queensland) Pty Ltd 033 161 168 972 WPACAU2S Surname/Lot#/SR/Stage#

Agent Details Allocated Agent:

Email:

Agency:

Mobile:

Notes:

Elders Real Estate Project Marketing Ph: (07) 3236 4075 Fax: (07) 3112 4272 E: [email protected]

Agent