Rental Bond Lodgement Form - Queensland

v2 Jul13
Level 23, 179 Turbot Street | GPO Box 390 Brisbane Q 4001 | t 1300 366 311 | rta.qld.gov.au
Bond lodgement (Form 2)
Residential Tenancies and Rooming Accommodation Act 2008
(Sections 116–119)
2
The RTA is collecting your personal information for the purpose of carrying out the RTAs functions under the Residential Tenancies and Rooming Accommodation Act 2008 and
may provide your information to QCAT and other bodies. For more information see RTA website.
New bond
Existing rental bond number
1 Address of the rental property (rooming accommodation: include room number)
Postcode
2
Date agreement starts Date agreement ends
3
Number of bedrooms
4 Details of dwelling
Residential
tenancy
Flat/unit House Townhouse Student accommodation
Moveable dwelling/site Moveable dwelling/site with electricity supplied and individually metered
Rooming
accommodation
Boarding house Supported accommodation Student accommodation
5 Details of the type of management
Residential
tenancy
Lessor/owner Real estate agent Moveable dwelling owner/manager
Community housing organisation Other
Rooming
accommodation
Owner Manager/provider Real estate agent Other
6 Details of the lessor, agent or manager/provider
Full name/trading name
ABN
Agent’s RTA ID (if known)
Postal address
Postcode
Phone Mobile
Signature
Email Date
7 Details of the weekly rent and bond payment
Total bond Weekly rent Amount of bond money paid with this form Date tenant/resident paid bond
$ $ $
If the lessor is the tenant’s employer, has the tenant been given a rent subsidy? Yes
No N/A
8 Full name and details of the tenants/residents who have contributed to the bond (including individual contributions)
1. First name/s Last name
$
Date of birth Phone Mobile
Signature
Email Date
2. First name/s Last name
$
Date of birth Phone Mobile
Signature
Email Date
3. First name/s Last name
$
Date of birth Phone Mobile
Signature
Email Date
OR
OR
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