Centrelink - Real Estate Details (Mod R) Completed Form Examples and Samples
View practical examples of how to fill out the Centrelink Real Estate Details (Mod R) form. Our samples provide clear guidance on reporting property assets, rental income, and mortgages to ensure your Centrelink application is accurate.
Filling the Centrelink Real Estate Details (Mod R) Form
How this form was filled:
This example demonstrates how our AI accurately extracts complex real estate and financial data from a casual email correspondence. By parsing the unstructured narrative, the AI intelligently maps details such as property ownership, market values, and rental income to the specific requirements of the Centrelink Mod R form, streamlining the benefits application process.
Source document used: Client Correspondence Email
Hi Centrelink, I am writing to provide the requested details regarding my secondary property at 14 Bluegum Court, Drouin, Victoria 3818. My full name is John Edward Smith, date of birth 12/04/1960. My CRN is 123-456-789-A. This property is a standard brick-veneer house that I own personally, not through any trust or company. I bought it in 2012 for $450,000, and current market value is estimated at $620,000. It is a 3-bedroom home on a small block of 700 square meters. The house is currently being rented out for $400 per week, and it has been occupied for 50 weeks this year. I have a mortgage on this specific property with Westpac, with approximately $150,000 remaining. I do not live at this address, nor do I run any business from it. I am happy to have a valuer inspect the property; you can contact me directly at 0400 123 456 to arrange a time. Please note there are no unusual encumbrances, although the property does sit on a single title deed. I have attached my latest council rate notice and tax return documentation for your review.
Information used to fill out the document:
- Owner: John Edward Smith
- Property: 14 Bluegum Court, Drouin, VIC 3818
- Value: $620,000 Market Value
- Rental Income: $400/week
- Encumbrances: Mortgage with Westpac ($150,000)
- Contact: 0400 123 456
What this filled form sample shows:
- Automatic mapping of unstructured residential address to multi-field form format
- Intelligent calculation of rental income frequency and duration
- Automatic determination of ownership type (Individual vs Corporate)
- Extraction of financial liabilities including mortgage and loan balance
- Authorization handling for property inspections
Form specifications and details:
| Form: | Centrelink - Real Estate Details (Mod R) |
| Purpose: | Social Security Asset Assessment |
| Target Audience: | Centrelink Pension/Allowance Recipients |
| Complexity: | High - Requires property valuation and financial debt disclosure |
| Categories: | Centrelink forms, ETA forms, estate forms, NJ state forms, PA state forms, real estate forms, state ID forms |
| Created: | May 19, 2026 06:51 PM |