Change Of Landlord/agent Agreement Form

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Change of landlord/agent form
1. Fill out this form to notify Tenancy Services of a change of landlord (including a temporary change when
the landlord is going overseas for more than 21 days).
2. Please read the important information on the back of this form before entering any details.
3. If you have a separate tenancy agreement for a room in the property, please supply the room number.
4. Use black or dark blue pen.
Bond number
1
1a
Bond details
Weekly rent $
Total bond $
Address of the rented property
2
Property ID:
Room
Unit/
Street
Street
no.
Flat no.
no.
name
Town/
Suburb
City
Property/
Rural
delivery no.
Building name
3
Current tenant(s)
Daytime contact phone no.
Print tenant(s) full name(s) below.
4
Previous landlord/agent(s) details
Daytime contact phone no.
Print your full name(s) below.
I/We have settled all matters relating to the bond and understand that our interest in the bond
for this tenancy shall now pass to the new purchaser/landlord.
5
New landlord/agent(s) details
Are you a rst-time landlord? Yes
No
Print your full name(s) below
Landlord ID Number
Address for Service (An Address for Service is explained on the back of this form.)
Street
Rural
Street no.
Unit/Flat no.
name
delivery no.
Town/
Suburb
City
Property/
Postcode
Building name
(
)
(
)
PO Box/
Fax
Daytime phone no.
Private Bag
Email
Mobile
Date change takes effect:
6
Signatures
All previous and new landlords must sign below and agree that the information provided on this form is true and correct.
Previous landlord(s) signature(s):
New landlord(s) signature(s):
Date:
Date:
Please send this form to Tenancy Services, PO Box 50 445, Porirua 5240,
or fax to (04) 237 7884, or email to bond.refunds@tenancy.govt.nz
If you need help, call freephone 0800 737 666 or visit our website at
* C H G L P P *
T19 (08/14)

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