Agricultural Land Registration Form

Complete and lodge this form to notify the ATO that a foreign person(s) has an existing, or new, interest in agricultural land or no longer has an interest in agricultural land.

Representative Details

Are you completing this form as (select one option from the checklist)? *
  

Details

Name *
  

Position *
  

Business Address line 1 *
  

Business Address line 2
  

Business Address suburb, city, town or locality *
  

Business Address state, territory or province region *
 
 
Business Address postcode/zip code
 
 
Business Address country *

Contact Details

Mobile/Cell Number *

Work number 
 

Contact E-mail address 1 *
 

Contact E-mail address 2

Reason for Registration

Reason for this registration is *

FIRB approval FI number (if applicable)

Entity Details

Complete this section for every entity you want to update on the register.

Entity Details

Title 

Individual surname or family name *

Individual first given name *

Individual second given name (if applicable) 
 

Individual date of birth (dd/mm/yyyy) *

 Address line 1 *

Address line 2 

Address suburb, city, town or locality *

Address state, territory or province region *

Address postcode/zip code 

Address country *

Gender 

                 

Nationality *

Passport number 

Passport expiry date (dd/mm/yyyy) 

Visa type 

Visa number 

Contact Details

Mobile/Cell Number *

Work number
 

Contact E-mail address 1 *

Contact E-mail address 2

Entity Details

Title 

Individual surname or family name 

Individual first given name 

Individual second given name (if applicable) 

Individual date of birth (dd/mm/yyyy) 
 

Address line 1

Address line 2 

Address suburb, city, town or locality 

Address state, territory or province region 

Address postcode/zip code 

Address country 

Gender


                     

Nationality

Passport number 

Passport expiry date (dd/mm/yyyy) 

Visa type 

Visa number 

Contact Details

Mobile/Cell Number 

Work number 
 

Contact E-mail address 1 
 

Contact E-mail address 2

Land Details

Complete this section for each agricultural land holding you want to update on the register.

How many interests do you require to update on the register? *
 

Agricultural Land Location Details

Property Name *

Address line 1 *

Address line 2 

Town/locality *

State *

Postcode *

Land Title Details

Unique property id 

Plan Type 

Lot/Plan *

Section/Block 

Unit 

Volume 

Folio
 

Sub folio 

Book 

Page 

Municipality 

Land Area *

Land use code 

Other Title Information
 

Title Holding Type *

                      


If lease, term of lease 

Date of event (mm/yyyy) *
 

Market value of Land in Australian $ *

What percentage interest does the entity have in the land? *

What is the land currently used for (Indicate % to equal 100)

 

 

Intensive Horticulture (%) 

Forestry (%) 

Other Farming (%) 

Non-farming (%) 

Other relevant information

   

Declaration

Authorised person submitting this declaration

(Complete all of the applicable fields below) 

Before you submit this form 

Make sure you have answered all the relevant questions correctly and read the privacy statement below before you submit and date this page. An incomplete form may delay processing and we may ask you to complete a new form. 

Penalties may be imposed for giving false or misleading information. 

Taxation law authorises the ATO to collect information and to disclose it to other government agencies. For information about your privacy go to ato.gov.au/privacy

 

Choose the appropriate declaration statement. 

                            
  •  I am authorised by the entities listed above to complete this form and give it to the Commissioner of Taxation
  •  The form has been prepared in accordance with information supplied by those entities and
  •  I have received a declaration from the entities stating that the information provided to me is true and correct

Date  (dd/mm/yyyy) *