*I/*we have received an advance of compensation of [amount of advance] on [date].
5 *I/*we have received an advance of compensation of [amount of advance] on [date].
or
*I/*we have not received an advance of compensation from the [name of Authority].
AND *I/*we state this information is true and correct.
Signed:
Date:
Signed by witness: [signature]
Name and address of witness:
* Delete if not applicable.
Form 12
Regulation 23
Land Acquisition and Compensation Act 1986
Notice of claim for compensation
(WHERE NO INTEREST IN LAND IS ACQUIRED)
This form is to be used if land is not acquired but you believe you have a claim to compensation.
Please note that all claims for compensation should be accompanied by relevant supporting material or documents to substantiate the claim.
The [name of Authority] may also ask for further information from you when assessing your claim. You should supply all supporting material when requested to do so. You may be liable for Victorian Civil and Administrative Tribunal costs or court costs if the claim becomes disputed.
Person(s) making claim: [name]
Authority claimed from: [name of Authority]
Description of land: [insert address or Title information or clear description of the land to which the notice relates]
IF AN OFFER WAS MADE, SET OUT DETAILS OF THE OFFER:
—date of offer
—amount of offer
—what the offer was for.
*I am/*We are the [set out by what right you claim to be entitled to compensation, e.g. the person to whom a notice of intention to acquire was given and the Authority which gave that notice did not proceed with the process of acquisition].
*I/*We have suffered loss or expenses as follows: [set out full and complete details of your loss or expenses and how you calculated these and the time when they occurred].
*I/*We state that—
1. *I am/*we are the person(s) entitled to make this claim.
2. *I/*we have not misled or failed to tell the [name of Authority] about anything which might affect the assessment of compensation.
AND *I/*we state this information is true and correct.
Signed:
Date:
Signed by witness: [signature]
Name and address of witness:
* Delete if not applicable.
Form 13
Regulation 24
Land Acquisition and Compensation Act 1986
Statement of principal rights and obligations to Accompany statement of reply to claim for compensation
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