STOCK ACT 2005
Australian Capital Territory
Annual Return of Land and Livestock 
As at 30 June YEAR

Please return completed forms to: 

Parks, Conservation and Lands
Stock Returns
GPO Box 158
CANBERRA ACT 2600

Landholders Name 
Landholders Postal Address

LAND DETAILS:
Total area (include lease and agistment):	_______________

Area cultivated during the year:	_______________

Area of improved pasture:	_______________	

LIVESTOCK DETAILS: 
Property Identification Code:	_______________________________

Registered Large Stock Brand:	_______________________________

Sheep Earmark:

Front of ear

Front of ear

Back of ear

Large Stock Earmark: 
(please draw your registered earmarks)

Back of ear

NUMBER OF STOCK, 6 MONTHS OLD AND OVER:
	HORSES	CATTLE	SHEEP	GOATS	ALPACA	POULTRY	OTHERS	
1.  Owned by you and on your holding								
2.   Not owned by you, but on your holding								
     TOTAL								
3.  Owned by you, but on agistment elsewhere								

Declaration: I certify that the above details are true to the best of my knowledge and belief

	Signed: ______________________________                 Date:  _______________

Note:  Section 9 of the Stock Act 2005 requires
‘A person who is liable to pay a stock levy in respect of a financial year, must give the chief executive a return for the levy within 7 days after the end of the year.’ Maximum penalty: 10 penalty units.