Signature Record (Form 8)

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Signature record (Form 8)
Residential Tenancies and Rooming Accommodation Act 2008
1
Details of the lessor, agent or manager/provider
Lessor
Agent
Manager/provider
Full name/trading name
ABN
Agent’s RTA ID (if known)
Postal address
Postcode
Phone
Mobile
Fax
Email
2
Signature/s of all authorised persons
Print name/s
Signature/s
Date
1.
/
/
2.
/
/
3.
/
/
4.
/
/
5.
/
/
6.
/
/
3
Signature of the real estate agency principal, property owner or rooming accommodation manager/provider
Print name
Signature
/
/
The RTA is collecting your personal information for the purpose of carrying out the RTA’s functions under the Residential Tenancies and
Rooming Accommodation Act 2008 and may provide your information to QCAT and other bodies. For more information see RTA website.
Return signed original form to the RTA—keep a copy for your records.
Level 23, 179 Turbot Street | GPO Box 390 Brisbane Q 4001 | t 1300 366 311 | f 3046 5266 | rta.qld.gov.au
v2 Dec13

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