Bond lodgement form
All sections of this form must be completed to enable smooth processing of information, payment and future refunds.
1
Bond number
If payment is to an existing bond for this tenancy, enter the bond number here:
2
Address of the rented property
(rooming accommodation: include room number)
Property ID (if known)
Postcode
3
Details of dwelling
Date tenancy started
Weekly rent
Total bond
Payment enclosed
Number of
Room
Boarding house room
Bedsit/flat
House/townhouse
Apartment
bedrooms
Landlord details
Email will be the first point of contact if provided.
4
Are you a first time landlord?
Yes
No
Landlord ID
Full name(s) or
(
)
trading name
Day phone
(
)
Evening phone
(
)
Mobile phone
Address for service
(An address for service is explained on the back of this form)
Street
address
Postcode
Signature(s)
Date
Email
By signing this form you agree that the information you have provided is true and correct.
Tenant 1 details
Print full name and bond contribution below. Email will be the first point of contact if provided.
5
(
)
Day phone
(
)
Evening phone
Are you a first time tenant?
Yes
No
Birth date
d
d
m
m
y
y
y
y
(
)
Mobile phone
Alternate address for service
(An address for service is explained on the back of this form)
Use this address for my main contact details at all times?
Street
address
Postcode
Signature
Date
Email
By signing this form you agree that the information you have provided is true and correct.
Please turn over for more tenant details
* L O D G P P *
T1 (03/16)