RDA Property Owner Agent Transfer form 2015

Property Owner / Agent Transfer Form
Use Blue or Black pen
only
Rental Deposit Authority
Write in CAPITAL letters
inside the boxes
* Indicates Mandatory Fields
Send original form to PO Box 56, Rosny, TAS 7018
THE RENTAL DEPOSIT AUTHORITY (RDA) WILL NOT PROCESS FORMS WITH ERASURES OR ALTERATIONS - LEAVE UNUSED FIELDS BLANK
Details of Bond (from Bond receipt)
Date of Transfer*
Bond No*
/
/
2
0
Property Details (from bond receipt)
Room / Unit No.
Street Name*
Street No.*
Suburb*
State*
T
A
Post Code*
S
Type of Premises Mark X in one box only
Separate House
Flat or unit or apartment
Please Specify
Terrace or townhouse or Semi-detached
Caravan
Other
Current Tenants
Tenant 1 Family Name*
Given Name*
Tenant 2 Family Name*
Given Name*
Tenant 3 Family Name*
Given Name*
Tenant 4 Family Name*
Given Name*
Outgoing Property Owner / Agent Details (from Bond receipt)
Agent ID
Or
Property Owner Family Name / Business Name*
Given Name*
Email Address
Signature*
Never sign a blank form
Daytime Telephone Number*
Date of Transfer
/
/
2
0
Incoming Property Owner / Agent Details
Agent ID
Or
Family Name / Business Name*
Given Name*
Room / Unit No.
Mobile Number Mandatory if the SMS box is marked
Street No.*
Street Name*
Suburb*
State*
RDA LLAGNTSFR02-100709
Post Code*
Signature*
Email Address Mandatory if the email box is marked
Preferred mode of contact* Mark X in one box only
P.O. Box No.
SMS
Email
Never sign a blank form
Post
Personal information will be collected from you for the purpose of maintaining a register of persons holding an interest in a security deposit pursuant to the Residential
Tenancy Act 1997 and will be used by the Department for purposes permitted by that Act. Failure to provide mandatory information may result in the inability to process
your form. Your basic personal information may be disclosed to other public sector bodies where necessary or if required by law. Personal information will be managed
in accordance with the Personal Information Protection Act 2004 and may be accessed by the individual to whom it relates on request to the Department. You may be
charged a fee for this service.
Office Use Only