Fill - Free fillable "New Licence Application Form 1–2, Application For A Corporation’s Licence Real Estate Agent, Property Auctioneer, Resident Letting Agent (Department of the Environment and Energy) PDF form

New licence application Form 1–2 Notes

ABN: 13 846 673 994

Application for a corporation’s licence

Real estate agent, property auctioneer, resident letting agent,

motor dealer, chattel auctioneer, ﬁeld agent

Property Occupations Act 2014

•

Motor Dealers and Chattel Auctioneers Act 2014

•

Debt Collectors (Field Agents and Collection Agents) Act 2014

This form is eective from 1 July 2019

19_1160FT

Who can use this form?

New licence application form 1-2 is for corporations to apply for real estate agent, auctioneer (real property), and resident letting

agent licences under the Property Occupations Act 2014, motor dealer and chattel auctioneer licences under the Motor Dealer and

Chattel Auctioneers Act 2014, and field agent licences (for collection of debts) under the Debt Collectors (Field Agents and Collection

Agents) Act 2014. If you require an individual licence, please use the New licence application form 1-1.

Fees payable

The Acts provide for a licence applicant to pay both an application fee and a licence issue fee. These fees are in the Property

Occupations Regulation 2014 and the Motor Dealers and Chattel Auctioneers Regulation 2014, and the Debt Collectors (Field Agents

and Collection Agents) Act 2014. Listed below are the current application and licence issue fees for a single licence category of one or

three years. Applicants for a single class licence, for either one or three years must pay the listed fee.

Licence category One year term

(One licence category –

includes non-refundable

application fee of $169.60)

Three year term

(One licence category –

includes non-refundable

application fee of $169.60)

Real estate agent, auctioneer (real property), resident letting

agent, motor dealer, chattel auctioneer and field agent

$829.40 $1495.60

Corporations applying for more than one class of licence under the Property Occupations Act 2014,or the Motor Dealers and Chattel

Auctioneers Act 2014, or the Debt Collectors (Field Agents and Collection Agents) Act 2014 only pay the licence fee shown above.

Criminal history check

A criminal history check (CHC) will be conducted for each person whose name is listed on the application. The fee for each CHC

conducted is $39.35 (inclusive of $1.13 GST) and processing of the application cannot be progressed until this fee is paid. Criminal

history checks are conducted in accordance with the legislation as outlined in the Property Occupations Act 2014 and Motor Dealers

and Chattel Auctioneers Act 2014. history checks are conducted in accordance with the legislation as outlined in the Property

Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014, and Debt Collectors (Field Agents and Collection Agents) Act

2014. All applications are subject to mandatory criminal history checks. CHC fees are not included in the above fees.

Please note: A CHC is not required if one has been completed under a relevant Act within the past six months. If it is outside of this

timeframe then another one is required.

*Relevant Act includes:

• Motor Dealers and Chattel Auctioneers Act 2014,

• Property Occupations Act 2014,

• Debt Collectors (Field Agents and Collection Agents) Act 2014,

• The repealed Property Agents and Motor Dealers Act 2000.

Total fee = 1 or 3 year fee $ ................................. + CHC $ ..................................... ($39.35 x no. required) = $ .......................................

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 Notes • V8 • July 2019 Page 1 of 11

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 Notes • V8 • July 2019 Page 2 of 11

Part 1—Licence details

Property occupations

The following licence classes allow the licensee to perform

the activities listed below as an agent for others for reward.

Real estate agent

• buy, sell, exchange or let real property or interests in real

property

• buy, sell, exchange or let businesses or interests in

businesses

• negotiate for the buying, selling, exchanging or letting of

real property or interests in real property

• negotiate for the buying, selling, exchanging or letting of

businesses or interests in businesses

• collect rents.

Auctioneer (real property)

• sell or attempt to sell or offer for sale or resale any real

property or interest in real property by way of auction

• sell real property by any means during the auction period

• sell or attempt to sell or offer for sale or resale goods by

auction if they are directly connected with the auction of

a real property holding.

Resident letting agent

• let lots in a building complex

• collect rents for lots in a building complex.

Limited real estate agent (business letting)

• buy, sell, exchange or let businesses or interests in

business

• negotiate for the buying, selling, exchanging, letting of

businesses or interests in businesses

• collect rents for commercial premises.

Motor dealer and chattel auctioneer occupations

The following licence classes allow the licensee to perform

the activities listed below for reward.

Motor dealer

• acquire used motor vehicles primarily for resale

• sell used motor vehicles

• sell used motor vehicles on consignment

• sell leased motor vehicles to the lessee under the terms

of the lease

• acquire used motor vehicles, whether or not as complete

units, to break up for sale as parts

• sell used motor vehicles as parts

• negotiate, under a consultancy arrangement, for a

person who is not a motor dealer or a chattel auctioneer

for the purchase or sale of a used motor vehicle for the

person.

Motor dealer (broker)

• negotiate for the purchase or sale of a used motor

vehicle for another person who is not a motor dealer or

auctioneer under a consultancy arrangement.

Motor dealer (wrecker)

• acquire used motor vehicles, whether or not as complete

units, to break up for sale as parts

• sell used motor vehicles as parts.

Chattel auctioneer

• sell goods by auction

• sell goods by any means during the auction period.

Debt Collectors (Field Agents and Collection Agents)

occupations

A field agent licence allows the licence holder to perform the

activities listed below for reward.

• Find or repossess goods for a person, or any goods or

chattels that the person is entitled to repossess under an

agreement

• Collect or request debt payments

• Serve a writ, claim, summons application or other process.

A field agent licence is not required where the activity is

performed without face-to-face communication with the

debtor.

Part 3—Previous licences

If the corporation held an equivalent licence under the

current Property Occupations Act 2014, the Motor Dealers

and Chattel Auctioneers Act 2014, the Debt Collectors (Field

Agents and Collection Agents) Act 2014 or the repealed

Property Agents and Motor Dealers Act 2000 which expired

less than two years ago, list the licence details in Part 3.

Part 4—Trading particulars

Indicate the corporation’s method of trade and complete the

appropriate parts of the form.

Corporation—you intend to operate your business through

the corporation under its own name, or any business name

of which it is proprietor. You are required to nominate a

person in charge who holds the same licence in Queensland.

Each executive officer is required to complete the executive

officer page, supply identification, and undergo a criminal

history check.

Partnership—you intend to operate your business through

the corporation in partnership with other individuals or

corporations. Each executive officer of the applicant

corporation, and all individual partners, are required to

complete the executive officer page, supply identification,

and undergo a criminal history check. Individual partners who

perform licensable activities (see Part 1), and any corporation

partners, are required to hold the appropriate licence in

Queensland. A corporation cannot be a silent partner.

Part 5—Places of business

Principal place of business—the place where the licence

holder performs the licensable activity and where records

of this activity are kept is considered the principal place of

business. There must be a suitably licensed person in charge

of the principal place of business, except for field agents

who require a licensed person in charge of the regulated

business. A post office box is not acceptable as a place of

business.

Other place of business—places of business divided by

a public road are considered separate, and each must

nominate a different licensed person in charge. If more

than two places of business are operated, an attachment

must be provided listing all places of business operated,

any business names used at each place, and the name and

licence number of the licensed person in charge at each

place of business.

Places of business must be within Australia, and are not

restricted to Queensland. Real estate agents may nominate

a real estate salesperson to be person in charge of a place of

business other than the principal place.

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 Notes • V8 • July 2019 Page 3 of 11

Resident letting agents are not required to supply body

corporate approval as part of the application, however, it

is a requirement of the licence to hold and maintain current

body corporate approval to manage each building complex.

Resident letting agents must have an office in the building

that is the registered office. A person cannot be in charge

of more than one building unless the buildings are not

separated by a public road. Resident letting agents may

nominate a resident letting agent or a real estate agent to be

person in charge.

Business name

The licence holder must be the proprietor of any business

name used in conjunction with a licence issued by the

Office of Fair Trading. If a trust is listed as a proprietor of

the business name, acceptable evidence must be provided

that the licence holder is entitled to operate on behalf of the

trustees e.g. a photocopy of the relevant page from the trust

deed listing the trustees of the trust.

Part 6—Partnership details

This section is to be completed if Partnership was selected

in Part 4. If there is insufficient space to include all partners,

please attach additional pages.

List the names of all partners, corporation and individual

in this section. All corporations in a partnership must be

licensed. If a partner is an individual, Part 7 must also be

completed for each individual partner.

Part 7—Executive officer and individual

business associate

This section requires the applicant or licensee to provide

details of all executive officers and/or business associates of

the corporate applicant, irrespective of whether each person

holds or is applying for a licence. Certified proof of identity

documents must be supplied for each person showing their

current name. If there is more than one executive officer or

business associate then this section must be printed and

completed for each person.

Part 8—Suitability checklist

This section of the form relates to the corporate applicant,

all executive officers of the corporate applicant and business

associates (partners).

A corporation is not a suitable person to hold a licence if the

corporation:

• has been convicted in the past five years in Queensland

or elsewhere of a serious offence

• is currently disqualified from holding a licence.

A corporation is also not a suitable person to hold a licence if

an executive officer of the corporation:

• is insolvent under administration

• has been convicted in the past five years in Queensland

or elsewhere of a serious offence

• is currently disqualified from holding a licence or

registration certificate

• is subject to a relevant control order (motor dealer licence

applicants only).

While an applicant is automatically deemed not suitable to

hold a licence if they answer yes to any of the above, there

are also a number of other matters which must be considered

when determining suitability. If you answer yes to any of the

suitability questions listed on the application form, please

provide the full details in writing.

Relevant Acts include the Motor Dealers and Chattel

Auctioneers Act 2014, the Property Occupations Act 2014, the

Debt Collectors (Field Agents and Collection Agents) Act 2014,

the repealed Property Agents and Motor Dealers Act 2000 or a

corresponding law.

‘insolvent under administration’ has the meaning as defined

in the Corporations Act 2001, section 9.

The Corporations Act 2001 defines insolvent under

administration as:

1. a person who, under the Bankruptcy Act 1966 or the law

of a foreign country has the status of an undischarged

bankrupt; or

2. a person who, under the law of an external Territory

or the law of a foreign country, has the status of an

undischarged bankrupt; or

3. A person whose property is subject to control under:

a. Section 50 or Division 2 of Part X of the Bankruptcy

Act 1966; or

b. A corresponding provision of the law of an external

Territory or the law of a foreign country; or

4. A person who has executed a personal insolvency

agreement under:

a. Part X of the Bankruptcy Act 1966; or

b. The corresponding provisions of the law of an

external Territory or the law of a foreign country;

Where the terms of the agreement have not been

fully complied with; or

5. A person who is a party (as a debtor) to a debt agreement

under:

a. Part IX of the Bankruptcy Act 1966; or

b. The corresponding provisions of the law of an

external Territory or the law of a foreign country.

‘serious offence’ means any of the following offences

punishable by three or more years imprisonment:

• an offence involving fraud or dishonesty

• an offence involving the trafficking of drugs

• an offence involving the use or threatened use of violence

• an offence of a sexual nature

• extortion

• arson

• unlawful stalking.

For motor dealer applicants only, a serious offence also

includes:

• an offence against the Criminal Code, section 76

(Recruiting person to become participant in criminal

organisation)

• an offence mentioned in the Criminal Code, part 2,

chapter 9A (Consorting); or

• an offence that is –

- a prescribed offence within the meaning of the

Penalties and Sentences Act 1992, section 161N; and

- committed with a serious organised crime

circumstance of aggravation within the meaning of

the Penalties and Sentences Act 1992, section 161Q

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 Notes • V8 • July 2019 Page 4 of 11

The fact that a sentence for one of the offences was less than

three years does not lessen the applicant’s responsibility

for disclosure. If in doubt answer ‘Yes’ and provide written

details of the conviction. It is an offence to provide incorrect

or misleading information.

‘conviction’ includes a plea of guilty or a finding of guilt by

a court, but does not include a plea of guilty or a finding of

guilt by a court if no conviction is recorded by the court.

‘corresponding law’ means a law of another State, Territory

or New Zealand that provides for the same matter as a

relevant Act or a provision of a relevant Act.

If you are uncertain about any of the above, you can

contact the Office of Fair Trading on 13 QGOV (13 74 68) for

information and assistance.

Declaration

All persons relating to this application (including for

example: Directors, Executive Officers and Business

Associates) must be a suitable person. The applicant must

have the consensus of all these persons for a criminal

history check to be conducted for this application.

Please note: The criminal history check fee is payable for

each check conducted in relation to the application.

Lodgement details

Please ensure your application is fully completed and you

have attached proof of identification documents, fees and

attachments as required. If any details or fees are missing or

incomplete our office will be required to write to you which

delays the processing of your application and the issue of

your licence. If no response is received from you within a

reasonable timeframe, your application may be deemed to

have been withdrawn by you. In this circumstance a refund

of fees paid less the application fee and criminal history

check fees (if the checks have been conducted) will be

refunded to you. You will then need to resubmit another

application if you still require the licence.

Licence approval

Normal processing time for new applications is 4–6 weeks

however this can be longer if we need to contact you for

missing information or fees. Applications can sometimes be

delayed awaiting clearance of police checks which is outside

the control of the Office of Fair Trading. If your application is

refused we will send an information notice to you explaining

your rights and the process involved in appealing the

decision.

The corporation is not able to perform the functions of a

licensee until a licence has been issued.

Refunds

You can withdraw your application at any time prior to

the licence being granted or refused. If the application is

withdrawn by you or deemed withdrawn or refused you

will receive a refund of the fees paid less a non-refundable

application processing fee and any fees paid for criminal

history checks that have already been conducted.

This section has been intentionally left blank.

New licence application Form 1–2 (COR)

ABN: 13 846 673 994

Application for a corporation’s licence

Real estate agent, property auctioneer, resident letting agent,

motor dealer, chattel auctioneer, ﬁeld agent

Property Occupations Act 2014

•

Motor Dealers and Chattel Auctioneers Act 2014

•

Debt Collectors (Field Agents and Collection Agents) Act 2014

This form is eective from 1 July 2019

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 • V8 • July 2019 Page 5 of 11

Part 1—Licence details

Section 1

Corporation details

Name of corporation .....................................................................................................................

ACN

Section 2

Property occupations

Please tick appropriate box. See Notes accompanying this form for definitions of licence categories.

Real estate agent

Resident letting agent

Auctioneer (real property)

Limited real estate agent (affordable housing)

Limited real estate agent (business letting)

Section 3

Motor dealer and chattel

auctioneer occupations

Please tick appropriate box. See Notes accompanying this form for definitions of licence categories.

Motor dealer

Chattel auctioneer

Motor dealer (wrecker)

Motor dealer (broker)

Section 4

Debt Collector occupations

Please tick appropriate box. See Notes accompanying this form for definitions of licence categories.

Field agent

Section 5

Licence term

1 Year 3 Years

Instructions

Before completing this application, please read the accompanying Form 1–2 Notes.

• Please complete application in BLOCK letters

• Attach extra pages if necessary

• References to dates should be in DD/MM/YYYY

• Fees quoted in this application/notes may alter at any time by Regulation

• Refer to notes for fees—No GST is payable on licence fees

Criminal history check fee of $39.35 (inclusive of $1.13 GST per check)

All executive officers of the corporation and individual business associates of the applicant, are

subject to mandatory criminal history checks. This fee is not included in the application fee and

must be included with your payment. Processing of your application will not be progressed until

this fee is paid.

Please note: A criminal history check is not required if one has been completed under a relevant

Act in the last six months.

Incomplete applications

Failure to complete this form or provide all the information, fees and documents will result in a

delay in granting your licence.

Privacy statement—please read

The Office of Fair Trading collects information, including personal information, on this form as

required by the Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014,

and the Debt Collectors (Field Agents and Collection Agents) Act 2014 to process your application.

In accordance with these Acts, some personal information may be passed on to police services

in Australia (including federal, states and territories) for criminal history searches. Enquiries may

also be made with the Department of Home Affairs to verify eligibility to work in Australia. Your

name and business address will be placed on a register which may be inspected by the public.

Additionally, information on this form can be disclosed without your consent where authorised or

required by law. Under the Fair Trading Act 1989 information may also be shared on a confidential

basis with other Australian fair trading agencies.

Change of details

If at any time your licence details or suitability requirements change, you must notify the

Office of Fair Trading in writing within 14 days.

OFFICE USE ONLY

Date received

.................................................

Payment details

Application allocation

$ .............................................

CHC fee $ ................................

Total allocation $ ....................

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 • V8 • July 2019 Page 6 of 11

Part 2—Contact details

Section 1

Contact details

Business phone ............................................................ After hours phone .....................................

Fax number .................................................................... Mobile .....................................................

Email address ...................................................................................................................................

Preferred contact method: B/H

A/H Mobile Email Mail

Section 2

Postal address

Address ...........................................................................................................................................

Suburb ......................................................................... State

Postcode

Change of address: If you change your address you are required to notify the chief executive in

writing within 14 days. You may be issued with a fine if you do not notify Industry Licensing within

the required timeframe.

Part 3—Previous licences

Section 1

Has the corporation held an equivalent licence under the current Property Occupations Act 2014,

the Motor Dealers and Chattel Auctions Act 2014, the Debt Collectors (Field Agents and Collection

Agents) Act 2014, or the repealed Property Agents and Motor Dealers Act 2000? If so, provide the

licence details below.

Licence number

Period: from: / / to: / /

Licence number

Period: from: / / to: / /

Office use only

Type Licence number Status Condition

Period

From To

Part 4—Trading particulars

Trading particulars

See Notes accompanying this

form for information and tick

the option which is applicable

to you.

Corporation with no business partners (complete below question and Parts 5 & 7)

Corporation trading in partnership (complete below question and Parts 5, 6 & 7)

Does the corporation sub-contract its services to another licence holder?

Yes

When you have completed the above parts as required, complete this form from Part 8 onwards

This area has been intentionally left blank.

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 • V8 • July 2019 Page 7 of 11

Part 5—Places of business

Section 1

Principal place of business

A post office box address is

not acceptable.

Registered National Business Name (if applicable)

.........................................................................................................................................................

Principal place of business ...............................................................................................................

Suburb ........................................................................... State

Postcode

Name of person in charge .................................................................................................................

Licence number of person in charge

Section 2

Other places of business

(if applicable)

A post office box address is

not acceptable.

A person cannot be in charge

at more than one place of

business.

Registered National Business Name (if applicable)

.........................................................................................................................................................

Other place of business ....................................................................................................................

Suburb ........................................................................... State

Postcode

Name of person in charge .................................................................................................................

Licence number of person in charge

Will you have more than two places of business? Yes No

If yes, you will need to supply an attachment with this form listing your other places of business,

the business name (if any) used at each place of business and the name and licence number of the

licensed person in charge at each place of business.

Part 6—Partnership details

Name of partners

If you have more than two

partners you will need to

supply an attachment with

this form listing all your

partners and their licence

numbers.

Part 7 of this form must be

completed for each individual

partner.

Partner 1 name ..................................................................................................................................

ACN (if partner is a corporation)

Partner licence number (if licensed)

Partner 2 name .................................................................................................................................

ACN (if partner is a corporation)

Partner licence number (if licensed)

All corporations in a partnership must be licensed.

This area has been intentionally left blank.

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 • V8 • July 2019 Page 8 of 11

Part 7—Executive officer and individual business associate (partner) details

If there is more than one executive officer or individual business associate (partner) you will need to print and complete a copy of

this section for each person.

Section 1

Executive officer /

individual business

associate details

An individual business

associate is another

individual with whom the

licensee carries on business.

An executive officer is any

person concerned with or

takes part in the management

of a corporation (Directors

and company secretaries).

NOTE: Individuals

must provide certified

identification in their current

name.

*Only photocopies of

documents certified as being

a true copy of the original

document by a Justice of

the Peace, Commissioner

for Declarations, barrister/

solicitor, or Notary Public can

be accepted. The photocopy

must contain the original

signature of the person

certifying the identification.

Preferred title Mr

Mrs Ms Miss Other (specify) .................................

Surname ..........................................................................................................................................

Given names ....................................................................................................................................

Have you been known by any other name? Yes

Previous names ................................................................................................................................

If you are lodging this application in person, you can provide your original birth certificate/ extract,

passport, Australian certificate of citizenship or driver’s licence, which will be copied and certified

by the officer accepting your application. If you are lodging this application by mail, please send a

photocopy certified as being a true copy.*

Date of birth

/ /

Place of birth: Town ............................................................................................... State

Country ............................................................................................................................................

Section 2

Residential address

A post office box address is

not acceptable.

Home address ..................................................................................................................................

Suburb ......................................................................... State

Postcode

Section 3

Postal address

Enter ‘as above’ if the same

as residential address.

Address ...........................................................................................................................................

Suburb ......................................................................... State

Postcode

Section 4

Contact details

Business phone ............................................................ Home phone .............................................

Fax number .................................................................... Mobile .....................................................

Email address ...................................................................................................................................

Section 5

Any persons that perform any

activity in the business that

requires a licence must be

appropriately licensed.

Does this person perform any activity in the business which will require them to hold a real estate

agent, auctioneer, motor dealer, chattel auctioneer, resident letting agent, or field agent licence?

Yes—Licence number

This area has been intentionally left blank.

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 • V8 • July 2019 Page 9 of 11

Part 8—Suitability checklist

Suitability requirements

Please see Notes

accompanying this form for

explanation.

It is an offence to supply

incorrect or misleading

information.

Disclosure of previous

convictions does not

automatically disqualify

you from holding a licence.

However, failure to disclose

convictions may result in

your licence being cancelled

and prosecution action being

commenced.

*Executive officer of

a corporation means

any person who is

concerned, or takes part,

in the management of the

corporation (director or

company secretary)

**Relevant Act includes:

• Property Occupations Act

2014

• Motor Dealers and Chattel

Auctioneers Act 2014

• Debt Collectors (Field

Agents and Collection

Agents) Act 2014

• the repealed Property

Agents and Motor Dealers

Act 2000

• a corresponding law.

If you answer Yes to any of these questions, you need to provide full details in writing.

Has the corporation, any executive officers or any business associates listed in Parts 6 and 7:

Been found guilty of an offence (excluding traffic or misdemeanour offences)

in Queensland or elsewhere, within the last five years? Yes

Been convicted of an offence and/or disqualified from holding a licence or

registration certificate under a relevant Act** or the Agents Financial

Administration Act 2014? Yes

Received an adverse order under the Property Occupations Act 2014,

the Motor Dealers and Chattel Auctioneers Act 2014, the Debt Collectors

(Field Agents and Collection Agents) Act 2014, or the repealed

Property Agents and Motor Dealers Act 2000 from QCAT or the District

court in the last five years? Yes

Been (or are) insolvent under administration (this includes entering into

bankruptcy or a Personal Insolvency Agreement under Part X of the

Bankruptcy Act 1966 or is a party as a debtor to a debt agreement under

Part IX of the Bankruptcy Act 1966)? Yes

Been an executive officer* of a corporation licensed under a relevant Act**

that has been placed into receivership or liquidation? Yes

Been placed into receivership or liquidation? Yes No

Been named in the register of persons disqualified from managing

corporations under the Corporations Act? Yes

Ever had a licence or registration certificate refused, suspended or

cancelled under a relevant Act**? Yes

Had an amount paid from the Claim Fund including the Funds established

under the repealed Property Agents and Motor Dealers Act 2000 or the

repealed Auctioneers and Agents Act 1971, because of an action or omission

that gave rise to a claim? Yes

Relevant control order in

relation to a licence, means

a control order or registered

corresponding control order

that restricts the person

to whom the order applies

from carrying on a business,

engaging in an occupation or

performing an activity that

requires the licence.

Motor dealer licence applicants only

Control orders

The corporation is not a suitable person to hold a licence under the Motor Dealers and Chattel

Auctioneers Act 2014 if an executive officer is subject to a relevant control order as defined under

the Motor Dealers and Chattel Auctioneers Act 2014.

This area has been intentionally left blank.

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 • V8 • July 2019 Page 10 of 11

Part 9—Checklist and declaration

Applicant to sign

Must be signed by an

executive officer of the

Corporation.

Please check each statement and tick each box if you have met the following requirements:

I/We have made appropriate enquiries and to the best of my knowledge all details on this

application have been provided honestly and correctly

I/We have enclosed certified identification for each individual/partner and office holder/s

shown on this application

I have enclosed the application fee $ ...................................................................................and

Criminal history check of $39.35 x ........................................= $ ................................................

In submitting this application, I declare I have the consent of all persons relating to this application

being subject to a national criminal history check by the Queensland Police Service (QPS) and

for QPS and other Australian police services to disclose criminal history information and any

impending charges to the Office of Fair Trading.

I understand any disclosure will be subject to applicable Commonwealth, state or territory

legislation and/or police policy. Enquiries may also be made with the Department of Home

Affairs to verify eligibility to work in Australia. In other instances, information on this form can be

disclosed without your consent where authorised or required by law.

I declare the answers I have given on this form and attachments are true and correct in every detail.

I have read and agree to the terms stated above.

Applicant signature ..........................................................................................................................

Signatory’s name .............................................................................................................................

Position held ...................................................................................................................................

Date

/ /

Lodgement details

IMPORTANT!

Please make sure you:

• provide all necessary

information and

documentation

• sign the application

• return all pages of the

application form.

Please lodge the completed application, any supporting documentation and applicable fees to

the Office of Fair Trading at the address below, at one of our regional offices, or at a Queensland

Government Service Office.

By mail:

Industry Licensing Unit, GPO Box 3111, Brisbane QLD 4001

In person:

Visit www.qld.gov.au/fairtrading or call 13 QGOV (13 74 68) for information and your nearest

Fair Trading Office or Queensland Government Service Office.

Refunds

If an applicant withdraws an application prior to a licence being issued, or it is refused, the

application fee and fees paid for criminal history checks that have already been conducted are not

refundable.

Change of details

If at any time your licence details or suitability requirements change, you must notify the

Office of Fair Trading within 14 days.

This area has been intentionally left blank.

Property Occupations Act 2014, Motor Dealers and Chattel Auctioneers Act 2014 and

Debt Collectors (Field Agents and Collection Agents) Act 2014 • Form 1–2 • V8 • July 2019 Page 11 of 11

Payer details

This section must be

completed if payment has

been made by another person

on behalf of the applicant.

Name ..............................................................................................................................................

Postal address ................................................................................................................................

Suburb ............................................................................State

Postcode

Mobile .......................................................................... Fax number .............................................

Receipt request Yes

Email ..............................................................................................................................................

Payment

Payment details

Cash—pay in person

Do not send cash by mail

Debit/Credit card Money order Cheque

Make money order or cheque payable to the Office of Fair Trading.

A receipt will not be issued unless specifically requested.

Debit/Credit card

OFT cannot accept debit/credit card details over the phone, fax or email (including any attachments)

in accordance with the Payment Card Industry Data Security Standard. If an email or fax is received

containing debit/credit card details, it will be deleted immediately and your application and

payment will not be processed.

Charge my:

Go online to www.qld.gov.au/fairtrading

Debit/Credit card number:

Cardholder’s name: ........................................................................................................................................................

Amount authorised: $ .......................................................................................... Expiry date:

Cardholder’s signature: .......................................................................................................................................................

Online

payments

Tick box if you wish to pay online

If you select this option, once OFT has received your documentation, an officer will be in

contact to provide you with a Customer Reference Number (CRN). You can use this to pay via

the following methods:

Go online to www.qld.gov.au/fairtrading

Payments can be made using BPAY through your bank or financial institution using the

reference details that will be provided to you.

By post

A cheque or money order can be posted in, together with the application form.

Make money order or cheque payable to the Office of Fair Trading

In person

You can also visit a Fair Trading Office or an applicable Queensland Government Service Office to

lodge this application and pay the applicable fees over the counter.

Visit www.qld.gov.au/fairtrading or call 13 QGOV (13 74 68) for your nearest Fair Trading Office or

Queensland Government Service Office.

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New Licence Application Form 12, Application For A Corporations Licence Real Estate Agent, Property Auctioneer, Resident Letting Agent (Department of the Environment and Energy)

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