Failure To Provide Bank Account Details May Result in A Delay in Your Refund

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CLAIM FOR REFUND

OF BOND MONEY
RENTAL BOND NUMBER

FAILURE TO PROVIDE BANK ACCOUNT DETAILS MAY RESULT IN A DELAY IN YOUR REFUND
1

REFUND DETAILS
Is any money owing to the landlord/managing agent?

If YES, show amount


If NO, write "NIL"

RENTED PREMISES

OFFICE USE ONLY


Class

Address
of rented
premises

Alterations must be signed in full


by all signatories to the form

Approved by

Postcode

TENANT/S

First Name

Family Name
Cheque No.s

1.
2.
3.
4.
Forwarding
Address
Postcode

If not known
write "Not Known"

Mobile /
Daytime Phone
Email Address
Refunds are made by Direct Deposit
If account
Bank/Credit Union
details are not
provided your
refund may be Account Name
delayed

BSB No.

Branch Location

Account No. (Credit card details NOT acceptable)

Account Type

HAVE
YOU READ
THE BACK OF
THIS FORM ?

Agent's ID No.

LANDLORD / MANAGING AGENT


Name
Address

Postcode

Mobile /
Daytime Phone
Refunds are made by Direct Deposit
If account
Bank/Credit Union
details are not
provided your
refund may be Account Name
delayed

BSB No.

Account No. (Credit card details NOT acceptable)

REFUND APPROVAL

Branch Location

Account Type

Tenants should never sign a claim form if sections 1- 3 are not completed

Signature
of tenant/s
Signature
of landlord/
managing
agent
RENTAL BONDS
Locked Bag 9000, Grafton NSW 2460

Phone: 133 220


TTY: 1300 723 404
Email: [email protected]
Website: www.fairtrading.nsw.gov.au

ADV7061 09/15

RENTAL BONDS

FAILURE TO PROVIDE BANK ACCOUNT DETAILS MAY RESULT IN A DELAY IN YOUR REFUND
HOURS:

8.30am - 5.00pm Monday to Friday

TELEPHONE:

Rental Bond Information:


133 220
Aboriginal Tenancy Information:
1800 500 330
TTY: 1300 723 404

EMAIL:

[email protected]

WEBSITE:

www.fairtrading.nsw.gov.au

NSW Fair Trading.

,
NSW Fair Trading

1 Rental Bond Number


You must write your Rental Bond Number on the front of this form.

NSW Fair Trading

2 How to claim
After the tenancy has terminated you can make a claim for a
refund.
The simplest and quickest way to obtain a refund is to email the
completed claim form to [email protected].
Completed claim forms may also be posted to Locked Bag 9000,
Grafton NSW 2460 or lodged at any Service NSW Centre.

NSW Fair Trading.

Landlords or managing agents should show the total amount of


loss incurred, even if this is in excess of the amount lodged.
3 Disputes
Where agreement cannot be reached or where the tenant or
landlord cannot be located, claims can be made solely by the
tenant or landlord/managing agent. Rental Bonds will send a
Notice of Claim to the other party. If Rental Bonds is not notified
within 14 days from the date the Notice was issued that the
recipient has applied for a NSW Civil and Administrative Tribunal
hearing, the bond will be refunded as directed by the first claim
form processed.
4 Refund method
Our office does not issue individual payments to co-tenants.
Refunds are made by Direct Deposit:
Your refund will be in your account 2 working days after receipt
if you give us the correct details for your Australian bank, credit
union or building society account (including the Account
name, BSB and Account number).
Failure to provide account details may result in a delay in your
refund.
Direct deposits cannot be made to credit card accounts
or to card numbers.
All tenants should sign the claim form if the refund is to be paid
into an account that is not in all the tenants names.
Please also provide a forwarding address and Mobile /
Daytime phone contact so we can contact you if there is any
issue with making payment.
5 Disclosure of Information
Information provided on this form may be disclosed to lawfully
authorised government agencies upon demand.

(NSW Fair Trading).

NSW Fair Trading.

NSW Fair Trading.

(NSW Fair Trading).

NSW Fair Trading.

NSW Fair Trading.

IT IS AN OFFENCE TO MAKE A FALSE OR MISLEADING STATEMENT


WHEN MAKING A CLAIM FOR REFUND OF BOND MONEY.

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