Approved form AF2002-87

made under the
Residential Tenancies Act 1997

Residential Tenancies Act 1997—Form 1
(see Residential Tenancies Regulations 1998, reg 8)

Australian Capital Territory
Residential Tenancies Act 1997
Termination notice

TO: 
[Insert name/s of tenant/s]

TAKE NOTICE that in relation to the residential tenancy of the premises situated at:
[Insert address]

NOTICE IS GIVEN THAT:
I/we intend to apply to the Residential Tenancies Tribunal for a termination and possession order requiring you to vacate the premises if you do not—
*	vacate the premises on or before      day of                         20           (see section 47 or, in relation to a successor in title, section 64); 
*	remedy the breach of the prescribed terms alleged within    days/weeks of the date of service of this notice on you or undertake to remedy the breach within a reasonable period specified by you (see section 48); 
*	pay the rent due and payable within      days/weeks of the date of service of this notice on you (see section 49); or
*	take appropriate action to ensure that the purported assignee/s or sublessee/s vacate/s the premises (see section 54).
* Strike out whichever is inapplicable

THE GROUND/S on which this notice is issued are:
[Insert particulars identifying the circumstances giving rise to the ground/s] 

Dated this                 day of                              20     .

.................................................
[Signature/s of lessor/s]
[Insert address/es and telephone contact/s of lessor/s]

OR if notice is being given by successor/s in title:

.................................................
[Signature/s of successor/s in title]
[Insert address/es and telephone contact/s of successor/s in title]

Endnotes
1	This form was originally in the Residential Tenancies Regulations 1999, schedule.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from the regulations and became a form approved under the Residential Tenancies Act 1997, section 133 (see amdt 1.3664, amdt 1.3668).
2	This republication includes amendments made under the Legislation Act 2001, part 11.3 (Editorial changes).

©  Australian Capital Territory 2002