Form 9 - Selling Authority Page 2
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4Site and park
Park address .............................................................................................
continued
..................................................................................................................
..................................................................................................................
Suburb ......................................... State
Postcode
Park owner/manager
Preferred title
Mr
Mrs
Ms
Miss Other (specify) .................
Name of park owner/
First name .................................... Last name ........................................
manager
Price, commission and
Asking price for sale ..................................................................................
other fees
Agreed commission (e.g. 4%) .....................................................................
Other applicable fees (e.g. advertising fees, signage costs) ........................
..................................................................................................................
..................................................................................................................
Signature/s of home
I/We, being the owner/s of a manufactured home located at the above
owner/s (seller/s)
address, authorise the park owner/manager named above to sell, or to
negotiate the sale of, the manufactured home placed on the site detailed
on this form.
I/We agree to pay to the authorised person named on this form a fee for the
sale of the manufactured home which is no more than the amount allowed
under the Act or Regulation.
Signature 1 ................................................................................................
Name (please print) ...................................................................................
Date signed
/
/
Signature 2 ...............................................................................................
Name (please print) ...................................................................................
Date signed
/
/
Manufactured Homes (Residential Parks) Act 2003 • Section 60 • Form 9 • V3 • September 2014
Page 2 of 4
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Parent category: Financial