BOND REFUND FORM + Nopayments wilbe mode 10 ary party riess both the lancloré and al tears have signed fs form. 2 Please print cleat witha bald pen 3. Refunds will eppear in yourberk account within 24 hours of approval. Please check your cout 44 thou need help, or dont know your bond number, call ou reephore 0800 737 666 4 Date Tenancy Ended Bond Number: 6023706-012 pt Bond Balance: $1,200.00 as at 24 Nov 2021 2 Address of Rented Property Property ID: 3023706 Room 4, 4 Colina Terrace, Thorndon, Wellington. 3 Refund Details Lantos reason for liming come oral ofbo bond (ck boxes) Landiow(s) Arears| | Repairs [__] leering |_] Ou-goings [__] oer Tenants) Hol indispule S$ Total 8. Please iia (counters) ary aterations to is section oryour refund may be delayed 4 Landlord Refund Details Name(s): Prime Residential Baink Account Number: a Roferonce Number: ‘Address for Service: The ddrose for Sorioe'ie an addres in Now Zesland whore alse and oar documents lating to the fananey wit be ascepted by you or onyeu bebe even arto tenancy hae ended. Tha ‘Adress for Snice’ earnot bea PO Bex. Stroot Address a 7 7 Suburt/TowntCity EEE Daytime PhiNos) or bie Ph, CCanwe contact you by o-mall? Yes No Email Address: 5 Tenant Refund Details Al erants must provide thelrname, bank accourt amber and the amount they are to receive. Continue on a separate sheet if ecessary. Name: T Hoang Receives(amount} $, Bank Account Number: EA Name Receives amoure) Bank Account Number I Name: Receives amount) § sanktecartNnbor I Name: Rocehos noun) § Bank AccountNumnber : a ‘Address for Service: The “Accress for Sanicee an across in New Zeeland whore races ant oer doctments rely to the tenancy we be aosepted by you, cron your Daal, evan ater ie fenancyhas ened, The ‘Adress for Sewe' camotbe & PO Box Sirest Adeross i as SubutTowncity _ Daylime Pho(6) i on Mobile Ph Canwe cortact you by e-mail? Yes No EmailAddress: 6 Landlord Signature(s) Tenant Signature(s) Alltenants must sign below Date: Date: Signing here means you agree with all the details shown above Please send or faxithis Bond Refund Form fo the Service Centre, P.O. 80x50-445, Porirua, Fax 04 2377884‘Thoa Hoang 4/1 Colina Tes Thordon Wellington Fei 2910972028, xi 06/10/2023, Fe tsitor2023 Fx 2an072023 Fr 27/0/2028 Fr oar 12023, Fri ton 172023 Fe 17/1 172028, fn 24n 2023 Fa ornz023 Fei 08/12/2023, Fe 15/12/2023, Fei 22n2/2023, Fe 2anzo023 Fa osnv2024 Fri 1201/2026 Fe to} 2024 Fri 2e01V2024 Fs ozn22024 Fr og2/2024 Fri ten2/2024 Fi 2990272024 Fei ownaveaz4 rime Properly Fi 29/09/2023 Thu os/T0V2023, FH 06/70/2023 Thu t2/t0V2023, FA 13/102028 Thu t9Vtov2023 Fr 20/io2028 Thu 2a/tovz023 Fa 271102023 Taw o2rt-v2028 Frioa/12023 Thu 09/17/2023 Fi 10/4/2028 Thu 16012028 Fit7/11/2023 Thu 23/11/2023 ri 2ayi1/2028 Thu 3007/2023 Fiowz02s © Thuo7stz/2023 08/12/2028 Thu 14/12/2023 Fei 15/12/2028 Thu 21/12/2023 Fri 2222028 Thu 2ar12/2023 Fa 2an22028 Thu 04/07/2024 Fri 05101/2028 Thu 11/07/2024 Fri12i0v2026 Thu 1810%/2024 191012026 Thu 25/07/2024 Fri2siot/202¢ Thu 01/02/2024 ri02022028 Thu oalo2/2024 Fri09102/2024 Thu 18102/2024 ri 1610272026 Thu 22/02/2024 Fi 231022024 Thu 29/02/2024 Fowoareo2s Sat o2I03¢2024 GRAND TOTAL 29/022024 4:19PM $310.00 $310.00 $310.00 $310.00 $910.00 $310.00 $310.00 $310.00 $310.00 $310.00 3310.00 $310.00 $910.00 $910.00 $910.00 $910.00 $310.00 $910.00 $310.00 $010.00 $310.00 310.00 ‘$88.57 $20,818.57 $910.00 3310.00 $310.00 $316.00 810.00 $316.00 210.00 $310.00 3310.00 $310.00 $910.00 $310.00 $910.00 $376.00 $910.00 $3.00 $310.00 $0.00 $20,730.00 Date Paid Frizeio912023 $0.00 Faveno2023 $0.00 ‘Mon 16/40/2028 $0.00 Frizarioy2023 $0.00 Faz702023 30.00 Friga/t e023 $0.00 Fr var2023 80.00 Frit7/ve023 0.00 Fri2art/2023, 30.00 Friot/izre023. 0.00 Frigart2/2023 30.00 Frits/12/2023. $0.00 Frizarizengs $0.00 Frizanza0za 30.00 ‘Men 08/01/2024 30.00 Fri t2ior/e024 $0.00 Fn rainva024 30.00 Frizeior/o024 $0.00 Friozize0z4 30.00 Frigsoze024 $30.00 Fri teio2/2024 $0.00 Men 28/02/2028 $0.00 $88.87 $88.57 Page 2 0f2 Summary OF Rent