Perth Form 16 - Application To Vary Or Set Aside Order
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1MAGISTRATES COURT:
RESIDENTIAL TENANCIES ACT 1987 (WA)
Case number:
PERTH REGISTRY
Section 17
501 HAY STREET
APPLICATION TO VARY OR SET
PERTH WA 6000
Date lodged:
PH: 9425 2222
ASIDE ORDER
FAX: 9425 2777
FORM 16
Method of service:
APPLICANT(S)
Name:
Tick [ ] a box
Address:
Postcode:
Lessor
Tenant
Name:
RESPONDENT(S)
Tick [ ] a box
Address:
Postcode:
Lessor
Tenant
On the _______ day of _________________ 20_______ an order was made by the Court in my absence.
I hereby make application to have that order set aside/varied for the following reasons
:
(give details)
Signature of applicant
Date
Take notice that this application has been set down for hearing in the Magistrates Court held at the
Central Law Courts Building, 501 Hay Street, Perth
on________________ day, the ____________ day of _____________________________ 20 ________
at ________________ am/pm.
Registrar
Date
Court Seal
To the Lessor
(name and address)
To the tenant
(name and address)
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