Residential Tenancy Periodic Agreement Page 4

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19.
Insurance
The parties acknowledge that should they want their property insured; the landlord would be responsible to
insure their dwelling, fixtures and fittings and the tenant would be responsible to insure their personal
belongings and furnishings.
DOMESTIC APPLIANCE REQUIRING INSTRUCTION:
Manufacturers’ manuals, or written or oral
instructions must be provided to the tenant.
List all appliances or devices provided as part of the agreement for which it would be reasonable to expect the tenant to req uire instructions e.g.
air conditioner:
…………………………………………………………………………………………………….
…………………………………………………………………………………………………….
WATER USE AND SUPPLY:
In the absence of a specific agreement with the tenant, if the water supply is separately metered, the
tenant is responsible to pay for all water use and the water supply charge. The tenant is not required to pay charges for water unless the landlord
requests payment from the tenant within 3 months of the issue of the bill, or the tenant has requested a copy of the account from the landlord and the
landlord failed to provided it (at no cost) within 30 days of the request.
Tick one box:
All water use and supply charge
All water use only
Supply charge only
Other
Insert details of other agreement:
EXCLUSIONS:
Describe those parts of the premises not subject to this agreement with as much detail as possible, attach list if necessary:
ADDITIONAL TERMS OF AGREEMENT
Insert any other terms of the agreement e.g. no pets:
……………………………………………………………………………………………………..
……………………………………………………………………………………………………..
SIGNATURE OF LANDLORD/S OR AGENT:
Date:
/
/
Date:
/
/
SIGNATURE OF TENANT/S:
Ensure you have read all terms of this agreement before signing.
Date:
/
/
Date:
/
/
Date:
/
/
For general tenancy information contact Consumer and Business Services on 131 882, or visit
Advice and Conciliation
Page 4 of 4
Version No.: 1.0
Issue Date: March 2015

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