Notice Of Landlords Intention To Retain Security Deposit (Page 3 of 4) in pdf

THE NORTHERN TERRITORY OF AUSTRALIA

OATHS AFFIDAVITS AND DECLARATIONS ACT

STATUTORY DECLARATION

(1) Insert name of person

______________________________________________________

(1)

making the declaration

(2) Insert address of person

______________________________________________________

(2)

making the declaration

do solemnly and sincerely declare:

I am the landlord / agent

of the premises situated at

(delete the inapplicable)

(the “premises”)

The premises have been let under tenancy agreement dated ___ / ___ / ___

(insert date)

The tenant is __________________________________

(print name as stated in tenancy agreement)

*On the ___ / ___ / ___

the tenant vacated or apparently abandoned the premises and vacant

(insert date)

possession was provided.

*On the ___ / ___ / ___

the premises were declared abandoned by the Commissioner of Tenancies

(insert date)

and an Order was issued for the immediate possession of the premises by the landlord.

(*delete the inapplicable)

I have provided the tenant with a Notice in accordance with section 112(5) of the Residential Tenancies Act

1999 and attest to the truth of the claim that the retention of the security deposit is required for the purpose

specified in the notice.

The following receipts, invoices or other documents are attached to this declaration and I attest that they

relate to –

(a) the matters in respect of which part or all of the security deposit is being withheld; or

(b) the amount of unpaid rent owing under the agreement or money owing under section 121:

And I make this solemn declaration by virtue of the Oaths, Affidavits and Declarations Act and conscientiously

believing the statements contained in this declaration to be true in every particular.

Declared at ____________________ the ____________ day of ____________________ 20____

(3) Signature of the person

_____________________________________

(3)

making the declaration

Before me

(4) Signature of the person

_____________________________________

(4)

before whom the

declaration is made

(5) _____________________________________________________

(5) Here insert name and

contact address or

________________________________________________________

telephone number of

person before whom the

________________________________________________________

declaration is made,

legibly written, typed or

stamped

NOTE: This declaration may be witnessed by any person who is at least (18) eighteen years of age.

NOTE: This written statutory declaration must comply with Part 4 of the Oaths, Affidavits and Declarations Act.

NOTE: Making a declaration knowing it is false in a material particular is an offence for which you may be fined or

imprisoned.

Notice Of Landlords Intention To Retain Security Deposit Page 3

Related Articles

Related forms

Related Categories