PAMD Form 28: Disclosure of beneficial interest to seller

PAMD Form 28
Disclosure of beneficial interest to seller
—by a real estate agent, real estate salesperson, auctioneer,
trainee auctioneer, pastoral house or pastoral house officer
Property Agents and Motor Dealers Act 2000
This form is effective from 1 July 2009
WARNING
ABN: 97 406 359 732
Department of Employment, Economic
Development and Innovation (DEEDI)
The client is advised to seek independent legal advice before signing this form.
This form is to be used if a real estate agent, real estate salesperson, auctioneer, trainee auctioneer, pastoral house or pastoral
house officer (‘selling agent’) acting for a client on sale of property obtains a beneficial interest in the property.
A selling agent commits an offence under the Property Agents and Motor Dealers Act 2000 if he or she obtains a beneficial interest
in the property, unless the selling agent obtains the client’s written acknowledgment that the client is aware that the selling agent
is interested in obtaining a beneficial interest in the property and the client consents to the selling agent obtaining the interest by
signing this form.
If the selling agent is a real estate agent, real estate salesperson, pastoral house or pastoral house officer, the client must sign this
form BEFORE the client signs a contract for sale of the property.
If the selling agent is an auctioneer or trainee auctioneer, the client must sign this form BEFORE the earlier of the auction of the
property or the client signs a contract for sale of the property.
Privacy statement—please read
The Office of Fair Trading is collecting information, including personal information, for the purposes of the Property Agents and
Motor Dealers Act 2000. In accordance with the legislation, information on this form can be disclosed without your consent where
authorised or required by law.
Part 1—Selling agent signature
Selling agent declaration
I,(the selling agent), declare:
(i) I am interested in obtaining a beneficial interest in the property.
(ii) the nature of the beneficial interest is: (please describe nature of beneficial interest).
......................................................................................................................................................
(iii)no commission can be charged for this transaction.
Signature........................................................................................................................................
Date
/
/
Part 2—Examples of beneficial interest in property
Under Section 13 of the Property Agents and Motor Dealers Act 2000, a selling agent is taken to have a beneficial interest in
property in the following cases:
• the purchase of property is made for the selling agent or the selling agent’s associate. (The selling agent’s associate includes the selling
agent’s spouse, de facto spouse, parent, brother, sister, child or stepchild, or child or stepchild of the selling agent’s spouse or de facto spouse.)
• an option to purchase the property is held by the selling agent or the selling agent’s associate.
• the purchase of the property is made for a corporation (having not more than 100 members) of which the selling agent or the selling
agent’s associate is a member.
• an option to purchase the property is held by a corporation (having not more than 100 members) of which the selling agent or the
selling agent’s associate is a member.
• the purchase of the property is made for a corporation of which the selling agent or the selling agent’s associate is an executive
officer.
• an option to purchase the property is held by a corporation of which the selling agent or the selling agent’s associate is an
executive officer.
• the purchase of the property is made for a member of a firm or partnership of which the selling agent or the selling agent’s
associate is also a member.
• the purchase of the property is made for a person carrying on a business for profit or gain and the selling agent or the selling
agent’s associate has, directly or indirectly, a right to participate in the income or profits of the person’s business or the
purchase or sale of the property.
Property Agents and Motor Dealers Act 2000 • Sections 145, 184 and 222 • Form 28 • V5 • July 2009
Page 1 of 2
Part 3—Selling agent details
Selling agent details
The selling agent is: (please tick relevant box)
A real estate agent
A real estate agent salesperson
An auctioneer
A trainee auctioneer
A pastoral house
A pastoral house officer
Name . ............................................................ ABN ....................................................................
Address .........................................................................................................................................
Locality/Suburb ............................................... State
Phone (
)...................................................... Fax (
Postcode
) .............................................................
Mobile ...........................................................................................................................................
Email .............................................................................................................................................
Licence number .............................................................................................................................
Licence expiry date
/
/
OR
Registration number ......................................................................................................................
Registration expiry date
/
/
Part 4—Property details
Property address
Address .........................................................................................................................................
Suburb/Town ................................................... State
Postcode
Lot .................................................................. Plan ....................................................................
Title Reference ...............................................................................................................................
Part 5—Client details
Client contact details
Name . ...........................................................................................................................................
Address .........................................................................................................................................
Suburb/Town ................................................... State
Phone (
)..................................................... Fax (
Postcode
).............................................................
Mobile ...........................................................................................................................................
Email .............................................................................................................................................
Part 6—Client’s acknowledgement
Client sign here
I/we, .................................................... and .................................................... (the client),
declare that I am/we are aware that the selling agent is interested in obtaining a beneficial
interest in the property and I/we consent to the selling agent obtaining such a beneficial interest.
Signature ........................................................ Signature ............................................................
Date
/
/
Date
/
/
If you need more information about this form, you can visit the Office of Fair Trading’s website at
www.fairtrading.qld.gov.au.
Property Agents and Motor Dealers Act 2000 • Sections 145, 184 and 222 • Form 28 • V5 • July 2009
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