Occupation: Real Estate Agent Change

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Income Details

Total Annual Income $

Employee Numbers

Yes  No  
Are you a sole trader/practitioner?:  

Business Activity Analysis

         
Residential Sales % Property Development %
Commercial Sales % Mortgage and Finance Broking %
Rural Sales % Project Development %
Auctioneering % Insurance / Financial Institutions Agency %
Stock and Station Agent % Land / Business Broking %
Residential Property and Strata Management % Buyers Advocacy %
Commercial Property and Strata Management % Valuations %
Real Estate Sales - Off the Plan Non CBD % Other %
Real Estate Sales - Off the Plan CBD % Please Provide details of 'Other' Activities
Total must be 100% %
Yes No
Do you require Fidelity Cover?  



In respect of income earned for the current financial year, please provide a breakdown by State:

NSW ACT QLD VIC TAS SA WA NT Overseas
% % % % % % % % %    Total must be 100%   %


Are you a small business eligible for exemption from paying NSW stamp duty on certain types of Insurance?   YesNo
Promotional Code (if relevant):