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 DECLARATION FORM FOR:

First Home Grant

Gifting Declaration

I,

(INSERT THE FULL NAME OF THE PERSON WHO HAS MADE THE GIFT)

of,

(INSERT ADDRESS AND OCCUPATION OF THE PERSON WHO HAS MADE THE GIFT)

solemnly and sincerely declare that I have gifted to

(NAME OF FIRST HOME GRANT CLIENT)

("the recipient")

the amount of $

(INSERT THE AMOUNT)

This gift is to assist the recipient to provide a sufficient deposit, in order to qualify for a First Home Grant and I can confirm that this money:

??is not a loan to the recipient; and ??is not otherwise required to be repaid to any person by the recipient; and ??is in the form of cash that will be deposited into the recipient's bank account prior

to or on settlement date

SIGNATURE OF PERSON MAKING THE GIFT:

RELATIONSHIP OF THE PERSON MAKING THE GIFT TO THE RECIPIENT:

DATE:

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