Form Adv7061 - Claim For Refund Of Bond Money

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CLAIM FOR REFUND
OF BOND MONEY
RENTAL BOND NUMBER
ONLINE BONDS MUST BE CLAIMED USING RENTAL BONDS ONLINE
1
REFUND DETAILS
Is any money owing to the landlord/managing agent?
If YES, show amount
Alterations must be signed in full
$
by all signatories to the form
If NO, write "NIL"
2
RENTED PREMISES
OFFICE USE ONLY
Class
Approved by
Address
of rented
Postcode
premises
3
TENANT/S
First Name
Family Name
1.
2.
3.
4.
Forwarding
Address
Postcode
If not known
write "Not Known"
Mobile /
Daytime Phone
Email Address
Refunds are made by Direct Deposit
If account
Bank/Credit Union
BSB No.
Branch Location
details are
not provided
your refund
Account Name
may be
delayed
Account No.
(Credit card details NOT acceptable)
Account Type
HAVE
Agent's ID No.
4
LANDLORD / MANAGING AGENT
YOU READ
Name
THE BACK OF
THIS FORM ?
Address
Postcode
Mobile /
Daytime Phone
Refunds are made by Direct Deposit
If account
Bank/Credit Union
BSB No.
Branch Location
details are
not provided
your refund
Account Name
may be
delayed
Account No.
(Credit card details NOT acceptable)
Account Type
5
REFUND APPROVAL
Tenants should never sign a claim form if sections 1- 3 are not completed
Signature
of tenant/s
/
/
Signature
of landlord/
managing
/
/
agent
Phone: 133 220
RENTAL BONDS
TTY: 1300 723 404
Locked Bag 9000, Grafton NSW 2460
Email: bondclaims@finance.nsw.gov.au
ADV7061
Website:
07/17

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