RLS October 2020 V2.2
Part 1b
(Tick which one applies)
I am completing the statement for a body corporate, company, partnership or other entity
I am completing the statement on behalf of trustees of a trust, or for someone else under an enduring power of attorney
Part 1a
Am I eligible to buy under the Overseas Investment Act 2005?
(Tick which one applies)
Yes, I am an Australian or Singaporean citizen buying residential land only
Yes, I hold a New Zealand residence class visa or I am an Australian or Singaporean Permanent Resident buying residential
land only and all of the following applies:
I have been residing in New Zealand for at least the immediately preceding 12 months; and
I am a tax resident in New Zealand; and
I have been present in New Zealand for 183 days or more in the immediately preceding 12 months
Yes, I am an Australian or Singaporean Citizen or I am an Australian or Singaporean Permanent Resident buying residential
land that is also sensitive for another reason and I have consent from the Overseas Investment Office
Residential Land Statement
Section 51A of the Overseas Investment Act 2005
Individual
I am an individual completing the statement for myself (
purchasing the residential land in your own name
)
Yes, I am a current New Zealand citizen
Non-individual (including company/trust/other entity)
Is the non-individual eligible to buy under the Overseas Investment Act 2005?
Please attach a certificate of non-revocation if you are acting under an enduring power of attorney
Please complete Part 1a for an individual or Part 1b for a non-individual (including company, trust or other entity).
A separate statement is required for each individual. One statement may be provided on behalf of a company, trust or other entity
(see the guidance document for more information).
Yes, the non-individual is neither an “overseas person” nor an “associate” of an “overseas person” as defined in the
Overseas Investment Act 2005
Yes, the non-individual has consent from the Overseas Investment Office,
or an exemption applies
(Tick which one applies)
Please provide Overseas Office case number, or statutory reference
If you require consent and have not applied, or an exemption does not apply, contact the Overseas Investment Office or seek legal advice.
Please provide Overseas Office case number, or statutory reference
Yes, I have consent from the Overseas Investment Office, or an exemption applies
RLS October 2020 V2.2
0800 665 463 (in NZ) or +64 7 974 5595 (if overseas) oio@linz.govt.nz www.linz.govt.nz/oio
Part 2
Part 3
Part 4
You must provide this statement to your conveyancer or lawyer
Signature
Name(s)
What is the full name(s) of the individual or non-individual that will appear on the Record of Title as the new owner(s)?
I certify that all of the information in this statement is true and correct.
Your name
Signature
Date signed
held (if signing
as an authorised
person)
The residential land being acquired
What is the Record of Title reference for the residential land, or the street address?
acquisition of the interest in residential land.
and you may be liable for a penalty of up to $300,000.