Schedule 1 - Application For Disposal Of Bond Money (Form 6) Page 4
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4RESIDENTIAL TENANCIES ACT 1987 (WA)
Case number:
MAGISTRATES COURT:
Schedule 1, clause 8(3) and (4)
PERTH REGISTRY
NOTICE OF INTENTION TO
501 HAY STREET
Date lodged:
PERTH WA 6000
DISPUTE APPLICATION FOR
PH: 9425 2222
FAX: 9425 2777
DISPOSAL OF BOND MONEY
FORM 5
Name:
APPLICANT
Tick [] a box
Address:
Postcode:
Phone:
Lessor
Tenant
Name:
RESPONDENT
Tick [] a box
Address:
Postcode:
Phone:
Lessor
Tenant
TAKE NOTICE that I intend to dispute this application for the following reasons:
THE PRESCRIBED DISPUTE FEE OF $18.20 MUST BE FORWARDED WITH THIS NOTICE AT
THE TIME OF LODGEMENT.
Signature of respondent
Date
Respondent’s address for
service of notices
L520
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