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DEPARTMENT OF NATURAL RESOURCES
, MINES AND ENERGY
Application form
Contact and Land Details
Part A
Application form requirements
1.
Part A:
Contact and land details will need to be completed.
2.
Part B:
Application specific form will need to be completed.
3.
Payment of the prescribed application fee, if relevant. A refund of application fees will not be given
. (Details
of fees are available on the Department of Natural Resources, Mines and Energy (DNRME) website
at
<https://www.dnrme.qld.gov.au
> or
from a regional
DNRME business centre
).
4.
If the application is not lodged by a solicitor, bank or consultant on behalf of the applicant, then all applicants
must sign the declaration on the appropriate Part B application form.
5.
All parts of this application form need to be completed accurately, otherwise your application may be
returned to you to complete.
6.
Prior to lodging your application, the Department encourages the applicant to have a pre-lodgement meeting
with a DNRME officer who will provide additional information in relation to native title, expected timeframes,
anticipated costs and to ensure the application will achieve your desired outcome.
Important information
7.
All applications will be processed having regard to the requirements of the
Land Act 1994
and related
legislation, approved policies and procedures and the requirements of all other agencies with an interest in
the land.
8.
All completed applications can be lodged with DNRME by sending information to the following email or postal
addresses or in person at your local DNRME business centre.
9.
Email:
SLAMlodgement@dnrme.qld.gov.au
10.
If lodging
an
application, all relevant Part B application forms must be signed and supporting documentation
must be scanned and then emailed.
11.
Post:
Department of Natural Resources, Mines and Energy
PO Box 5318
TOWNSVILLE QLD 4810
12.
In terms
of
the
Right to Information Act 2009
interested parties may seek access to DNRME records and
view relevant documents.
13.
Information on this form
, and any attachments, is being collected to process and assess your application
under the
Land Act 1994
. The consideration of your application may involve consultation and if so details of
your application may be disclosed to third parties. They will not be otherwise disclosed outside the
department unless required or authorised by law.
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© The State of Queensland (Department of Natural Resources
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Contact details
Lodger Details and Mailing Address
A lodger is only required when a solicitor, bank, co
nsultant
lodges the application on
behalf of the applicant.
Full Name
(s)
Title
First name
Surname
Company name
(s)
If a Corporation then record
ACN
ARBN
ABN
Postal Address
Phone number
Mobi
le phone
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© The State of Queensland (Department of Natural Resou
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, Mines and Energy
)
Applicant(s) Details and Mailing Address
If the applicant is a Corporation, either the
Australian Company number, Australian Registered Body number or the Australian Business number must be shown.
Full Name(
s)
Title
First name
Surname
Company name(s)
If a Corporation then record
ACN
ARBN
ABN
Postal Address
Phone number
Mobile phone
Future
c
orrespondence should be sent to
Lodg
er
Applicant
Are the applicants a foreign acquirer as defined by the
1
.
Yes
go to
2
No
go to 4
Additional Foreign Acquirer Duty (AFAD)?
For further information refer to the
Queensland Government website
to determine if
the applicant/s are a
foreign person
(acquirer) for AFAD
>.
https://www.business.qld.gov.au/industries/service
-
indus
tries
-
professionals/professional
-
financial
-
services/transfer
-
duty/investors/afad/foreign
-
persons
Is th
e
application related to the purchase of land,
for
example
a permanent road closure, or conversion of a
2
.
lease
where the land is or will be used solel
y or primarily
Yes
go to
3
No
go to
4
for residential purposes as defined for the
A
dditional
F
oreign
A
cquirer
D
uty (AFAD) under the
Duties Act 2001
?
Note
–
Under the
Duties Act 2001
an additional amount of duty applies where the land is residential land and the
applicant is a foreign person
(
acquirer
)
for AFAD
. For further details, please refer to the information on the Queensland
Government website for
Additional Foreign Acquirer Duty
:
-
https://www.business.qld.gov.au/industries/service
-
industries
-
professionals/professional
-
financ
ial
-
services/transfer
-
duty/investors/afad
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© The State of Queensland (Department of Natural Resou
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, Mines and Energy
)
Enter the full
name/s of the foreign acquirer
/s
.
3
.
go
to
4
(If there is insufficient space, please lodge as an attachment)
Full Name/s
Share held
(If a company, also provide a contact name)
Are the Applicants registered for GST and acquiring the
4
.
Yes
No
go to
5
land for a creditable purpose
?
Under
the
Tax Administration
Act (C
th) 1953
p
urchasers of new residential premises or potential residential land who
are required to withhold part of the purchase price for payment to the
Australian Taxation Office (ATO)
must make
payment as outlined on the ATO’s website.
https://www.ato.gov.au/business/gst/in
-
detail/your
-
industry/property/gst
-
property
-
settlement
-
online
-
forms
-
and
-
instructions/
.
Note:
An example of an acquisition for a creditable purpose would be for the purchase of the land by a building
contractor,
who is registered for GST, for the purpose of building a ho
u
se on the land and selling it in the
ordinary course of its business.
Details of land for which the application is being lodged
5
.
Select the type of land for which the application is being lo
dged.
Permit
Lease
go to
6
Licence
Unallocated State Land (USL)
Trust Land Reserve/
Road
Deed of Grant in Trust (DOGIT)
Dealing Number (refer to
Item 6)
Other
6
.
Enter the description of the land for which the application is being lodged.
If this application
concerns a road, enter the description of the land adjoining the road.
Schedule 1
You
must
enter either the Lot on Plan or Title Reference of the land
for which the application is being lodged.
Lot
Plan
Title Reference
go to
7
The details of the land can be found on a current copy of the Title
,
your rates notice
or the
Queensland
Globe
from the Queensland Government website
can be downloaded to help
access
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)