Fillable Residential Tenancy Agreement (Page 10 of 12) in pdf

Residential Tenancy Agreement Page 10

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Tenancy

Underfloor space is not accessible

Bulk Insulation value (R-value):

or minimum thickness (n/a for foil):

Age of underfloor insulation (if known):

Condition

Insulation is in at least a reasonable condition (if not, please explain why):

Insulation has no gaps other than clearances where required (e.g. around pipes)

Underfloor space is not accessible

Wall insulation

Location/coverage

Complete (all rooms)

Wall insulation is not compulsory,

Partial (specify areas not insulated):

and is not planned to be made

compulsory in July 2019.

None

However, you must provide this

information where it is known.

I don’t know as wall insulation is not accessible

Supplementary

Any other details about the type or condition if known:

Information

C. ADDITIONAL INFORMATION

(This section is optional for tenancies which are not income-related. Income-related rent tenancies are covered by

section A.)

1. Does insulation already meet the minimum requirements for ceiling insulation which will be compulsory from 1 July 2019?

Yes

If no, do any exceptions to the requirement to install insulation from 1 July 2019 apply? (Please explain.)

2. Does insulation already meet the minimum requirements for underfloor insulation which will be compulsory from 1 July 2019?

Yes

If no, do any exceptions to the requirement to install insulation from 1 July 2019 apply? (Please explain.)

3. Date insulation was last upgraded

or N/A

Date insulation was professionally assessed

or N/A

4. Please explain how you plan to comply with the requirements before 1 July 2019.

Landlord Statement

I/we,

(name of landlord(s)) declare

that the information contained in this insulation statement is true and correct as at the date of signing and that all reasonable

efforts have been made to obtain information about the location, type and condition of insulation at the premises.

Signed by:

Date signed

Landlord

RTA01 Residential Tenancy Agreement

LANDLORD’S COPY = TOP COPY TENANT’S COPY = BOTTOM COPY

PAGE 10

Residential Tenancy Agreement Page 10

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