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Vacation of home to enter care situation (INH) reviews 110-02090000



Letter template

Table 1

Item

Description

1

QSS32 - former home

Our records indicate that you entered a care situation approximately 2
years ago. Your former home has been given a 2 year exemption from
the assets test from the date that you first entered care. We are
requesting further information from you regarding your former home as the
exemption period is due to end. This may affect your rate of payment.

Questions

If you still own your former home, please provide a completed Mod R Real Estate Detail form by the due date.

Download the Mod R – Real estate details form from the Services Australia website (http://www.servicesaustralia.gov.au/forms).

If you have sold your former home, complete and return the following
questions and provide the documents requested.
Please advise the settlement date for the sale of your former home
and provide a copy of the settlement papers.
Please advise the amount received from the sale of your former home
after all sale expenses were deducted.
Please advise of the disbursements from proceeds of the sale of your
former home, including the relevant dates and amounts.
For example, please provide copies of your bank statements
showing the deposits of sale funds and ongoing disbursements.
If the sale proceeds were used to pay an accommodation payment for
an age care service, please advise the amount, payment
date and provide a copy of the receipt.

Optional question

We do not have a record of a Nominee for you. If you wish to appoint a
Nominee to act on your behalf, please go to the Services Australia website (http://www.servicesaustralia.gov.au/forms) to download and complete the ‘Authorising a person or organisation to enquire or act on your behalf’ form.