A statement required to be lodged by a person under section 106 shall be in a form approved by the Commissioner and contain the following information:
(a) the name and address of the person;
(b) the name of the relevant company or unit trust;
(c) the date on which the land use entitlement was acquired;
(d) the consideration paid by the person for the relevant shares or units;
(e) such other information as may be required by the Commissioner.