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2. LANDLORD Name/s: Address: ABN: Phone: Fax: Mobile: Email: GST Registered: Yes / No Proof of ownership documents attached if any: Other: 3. PROPERTY Address:

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2. LANDLORD Name/s: Address: ABN: Phone: Fax: Mobile: Email: GST Registered: Yes / No Proof of ownership documents attached if any: Other: 3. PROPERTY Address: Permitted Number of Occupants: 0 Availability Date: Lease Term Preference: - . . . . 4. RENT AND STATEMENTS Clause 4. Rent Payment Period: Weekly / Fortnightly / Monthly Payable to: Landlord Bank/Building Society Agent's Trust Account (tick only one) Bank: Branch: BSB: Account Name: Account No.: Statements Issue Period: Send to: Landlord OR other via Post OR Email Name: Address: Phone: Fax: Mobile

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