and Business Services

Post: GPO Box 965, ADELAIDE SA 5001

Telephone: 131 882
Bond number (if known)
Email: bondfollowup@sa.gov.au
Fax: 08 8204 9570
sa.gov.au/tenancy/renters
4 4 7 9 8 4 5
Change of tenant/resident
Complete in clear print using blue or black pen and block letters
Important
Address of rental premises  This form cannot be used if
the bond was provided by
Housing SA.
Postcode
 This form cannot be
4 Chinnery Ave, Magill SA 5072 processed without the
landlord/agent/proprietor’s
signature.
I agree to release my interest in the bond to the new tenant/resident
Previous tenant/resident as listed on bond lodgement – copy of ID must be provided for each tenant
First name/s Last name Phone
Alberto Torreao Herrera I
0450 600 475
Email Signature
albertotherrera@hotmail.com I
First name/s Last name Phone

I
Email Signature

I
First name/s Last name Phone

I
Email Signature

New tenant/resident
First name/s Last name Phone
Edmilson Garcia Freires I
Email Signature

edmilsonfreires72@gmail.com I
First name/s Last name Phone

I
Email Signature

I
First name/s Last name Phone

I
Email Signature

I
Landlord/agent/proprietor
Name Email
Instyle Estate agents I Joseph@instylepmadl.com.au
Address Phone
2/355 Anzac Highway Plympton 0451 750 567
Postcode
5038
Insert date

Change of tenant/resident effective from / /

Signature of
landlord/agent/proprietor Date / /
This form will not be accepted unless all sections are fully completed
,~M
ou,.,, ,
a.Ii Government of South Australia
~M.,~ Attorney-General's Department
A&C 07/2017
~
21423