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    Application For Certificate of Evidence' Under Section 131 of The Home Building Act

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    api-3751980
    This document is an application form for a 'Certificate of Evidence' under Section 131 of the Home Building Act. It requests information to identify the applicant and the individual, partnership, or corporation for whom they are requesting licence status information. It outlines the application fee that must accompany the form and provides spaces for payment details if paying by credit card. The receipt panel at the bottom is for official use when processing the application and payment at a Fair Trading Centre or Government Access Centre.

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    Attribution Non-Commercial (BY-NC)
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    Application For Certificate of Evidence' Under Section 131 of The Home Building Act

    Uploaded by

    api-3751980
    80 views2 pages
    This document is an application form for a 'Certificate of Evidence' under Section 131 of the Home Building Act. It requests information to identify the applicant and the individual, partnership, or corporation for whom they are requesting licence status information. It outlines the application fee that must accompany the form and provides spaces for payment details if paying by credit card. The receipt panel at the bottom is for official use when processing the application and payment at a Fair Trading Centre or Government Access Centre.

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    This document is an application form for a 'Certificate of Evidence' under Section 131 of the Home Building Act. It requests information to identify the applicant and the individual, partnership, or corporation for whom they are requesting licence status information. It outlines the application fee that must accompany the form and provides spaces for payment details if paying by credit card. The receipt panel at the bottom is for official use when processing the application and payment at a Fair Trading Centre or Government Access Centre.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    80 views2 pages

    Application For Certificate of Evidence' Under Section 131 of The Home Building Act

    Uploaded by

    api-3751980
    This document is an application form for a 'Certificate of Evidence' under Section 131 of the Home Building Act. It requests information to identify the applicant and the individual, partnership, or corporation for whom they are requesting licence status information. It outlines the application fee that must accompany the form and provides spaces for payment details if paying by credit card. The receipt panel at the bottom is for official use when processing the application and payment at a Fair Trading Centre or Government Access Centre.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    APPLICATION FOR ‘CERTIFICATE

    OF EVIDENCE’ UNDER SECTION 131


    OF THE HOME BUILDING ACT
    OFFICE OF FAIR TRADING’S HOME BUILDING SERVICE 13 32 20 www.fairtrading.nsw.gov.au/building

    1. Details of Applicant Requesting Certificate 131

    Surname, Company or Partnership Name:

    Given name(s):

    Mailing address for 131 certificate:

    Postcode

    Home phone: Work phone:

    Business phone: Mobile phone:

    Email:

    2. Search request:

    I hereby apply for a certificate under section 131 of the Home Building Act 1989 regarding the licence status of the individual,
    partnership or corporation named here under. (NOTE : certificates are not available in regard to registered Business Names).

    Surname, Company or Partnership Name:

    Given name(s):

    Address:

    Postcode

    Licence/Certificate/Permit No:

    Date Signed
    Signature of Applicant: D D /M M / Y Y Y Y

    FF6-08/07 1
    4. Application fee

    The application fee shown in the schedule of fees MUST accompany this application.

    Attach a cheque or money order made payable to the ‘Office of Fair Trading’, or

    Complete your credit card details below, and


    Send the completed form with payment to :
    Office of Fair Trading
    P.O.Box 261, Parramatta NSW 2124
    or pay in person at your local Fair Trading Centre or Government Access Centre

    Method of payment:
    Cash Cheque Credit Card Money Order

    Credit Card Details:

    Mastercard Visa Amex Diners

    Credit card number:

    Expiry Date: /

    Cardholder Name:

    Date:
    Signature: D D /M M / Y Y Y Y

    6. Receipting panel - for Fair Trading Centre and Government Access Centre use only

    Amount Paid: $ Method of Payment:

    Receipt Number: Date of Receipt:

    Location of FTC/GAC Officer’s Name:

    FF6-08/07 2

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