Bond lodgement form Tenancy

› All sections of this form must be completed to enable smooth processing of information, payment and future refunds
› Landlords’ and all tenants’ signatures must be provided. Incomplete forms will be returned
› Complete in a black or blue pen with CAPITAL letters if handwriting
› The bond is required to be paid in full for it to be approved, partial bond are no longer accepted

1 If payment is to an existing bond for this tenancy, enter the bond number here:

2 Address of the rented property Property ID (if known): 2 0 0 0 7 5 2

(for boarding house
Room no. or room only tenancy) Unit 5 House no. 25 Street 25 EDMONDSTONE ST

Suburb SOUTH BRISBANE City QLD

Building name Postcode 4101

Monthly rent 1400 Total bond 1400 Total amount enclosed 2800

Date tenancy started No. of Dwelling type (tick one): House/Townhouse Apartment Room
One
D0 D
9 M 0 M
5 Y 2 Y4 bedrooms See reverse for definitions
Boarding house room Bedsit/Flat

3a Landlord details Are you a first time landlord? Yes Landlord ID: 7 5 2 0 0 6 5

Full name(s) or trading name KIMBERLY WILSON

Contact phone 0431078372

3b Landlord address for service Email will be first point of contact if provided

Email wilsonkimberly1011@gmail.com Landlord Signatures

Unit House no. 18 Street STURT ST

Suburb MULWALA City NSW

PO Box or By signing this form you agree that the Date D
0 D
9 M
0 M
5 Y
2 Y
4
Private Bag Postcode 2647 infor­mation you have provided is true and correct

4a Tenant 1 details
Full name MARIA JOSE BARRIOS ARIAS Bond contribution 700
Date of Birth D D M M Y Y
Are you a first time tenant? Yes (optional) Contact phone 0426649482

4b Tenant 1 new address for service Email will be first point of contact if provided

Email MARIABARRIOS505@GMAIL.COM Signature

(for boarding house

Room no. or room only tenancy) Unit 5 House no. 25

Street EDMONDSTONE ST

Suburb SOUTH BRISBANE City QLD

PO Box or By signing this form you agree that the Date D
0 D
9 M
0 M
5 Y
2 Y
4
Private Bag Postcode 4101 information you have provided is true and correct

4c Tenant 2 details
Full name Bond contribution
Date of Birth D D M M Y Y
Are you a first time tenant? Yes (optional) Contact phone

4d Tenant 2 new address for service Email will be first point of contact if provided

Email Signature

(for boarding house

Room no. or room only tenancy) Unit House no.

Street

Suburb City
PO Box or By signing this form you agree that the Date D D M M Y Y
Private Bag Postcode information you have provided is true and correct

Use the Additional tenants bond lodgement form if more than

2 tenants. Attach it to this form. Yes, this form is attached.