Document ID: chunk:federal_register_of_legislation:F2024N00656:schedule:2:p1
Version: federal_register_of_legislation:F2024N00656
Segment Type: schedule
Provision Reference: sch 2 (pt 1/2)
Character Range: 14680–17925

Schedule 2—Approved form - Application for a Certificate of Exemption

Certificate of Exemption - application form

Part A

Applicant details

Title:
First name:
Surname:
Organisation:
Address:
State:
Postcode:
Country: (see note below)                                                                                     Australia
Telephone:
Mobile:
Email: (see note below)
What is your relationship to the object?                                                                      o Owner
                                                                                                              o Authorised agent
                                                                                                              o Potential buyer
If you are not the Owner, please confirm that you have authority to apply for this Certificate of Exemption:  o Yes
                                                                                                              o No
If you ticked no, please provide reason
If your application is approved, who should the Certificate of Exemption be issued to?
(For example; John Smith, or John Smith's Auction House)

Note: Section 13A of the Act requires the provision of an address in Australia for the service of notices. You may update this address at any time by giving notice in writing in the same manner as you submitted this application.
Note: The Department will correspond with you in relation to your application, including providing the outcome of your application and any reasons for decision, via the email address included in your application form, unless you indicate another preference.

If you are not the Owner, please provide details of the Owner if known:
Title:
First name:
Surname:
Organisation:
Address:
State:
Postcode:
Country:
Telephone:
Mobile:
Email:

Part B

Object details

Description of the object
What is the name of the object?
What is it? (For example, a painting or a stamp)
What size is it?
What age is it?
What is the current market value?                 AUD

Origins of the object
When was it made or found?
Who made or found it?
Where was it made or found?
If it was not made or found in Australia, what year did it come to Australia?
Give details of any publications in which it has been listed or photographed (if applicable)

Photographic requirements
     * You must provide clear colour photographs of the object. The object should be clearly visible and identifiable.
     * Where the object has a serial, chassis or engine number, photos of this identification must be included. If the number is not accessible an alternative method of identification such as a pencil rubbing of the compliance plate is acceptable.
     * A clear scan of a photograph of the object published in a book or catalogue is acceptable.
     * For natural science objects, a photo of the actual specimen, or in the case of a collection, a representative sample must be included.
     * For very large collections, a photo of the most significant object as well as a photo of a representative example of the collection must be included. Large collections may be inspected.
     * The department may request further information, including additional photographs, or access