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Form 607

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OCCUPANCY BOND LODGMENT FORM
PRIVACY COLLECTION STATEMENT (PRIVACY ACT 1988 (C’WLTH)) OVERLEAF

1. AMOUNT OF BOND FOR OCCUPANCY AGREEMENT
Amount of Bond	Weekly Rent	Date Occupancy Agreement Commenced	
     	     	     	

2. OCCUPIED PREMISES
Unit No.	Street No.	Street & Complex Name	Suburb	Postcode	
     	     	     	     	     	
3. OCCUPANT/S
LIST ONLY THE OCCUPANT/S WHO CONTRIBUTED TO THE BOND. DO NOT LIST CHILDREN, OR  PERSONS WITH NO ENTITLEMENT TO THE BOND.
Title	Family Name	Given Name/s	Phone Work/Mobile	Signature	
     	     	     	     		
     	     	     	     		
     	     	     	     		
     	     	     	     		
Date Signed        	
4. GRANTOR/S
Family Name	     	Given Name/s	     	
Family Name	     	Given Name/s	     	
Address	     	
Phone Work	     	Phone Home	     	Phone Mobile	     	
Signature/s	Date Signed        	

INSTRUCTIONS FOR COMPLETION

N.B.  PERSONS PAYING BY PERSONAL CHEQUE SHOULD NOTE THAT A BOND IS NOT DEPOSITED UNTIL THE CHEQUE HAS BEEN CLEARED

1.	Alterations should not be made by erasure, but by scoring through with a pen and the words substituted, written above then verified by signatures in the margin.   

2.	Typewriting and handwriting should be clear, legible and in permanent black ink.

3.	List only persons who have contributed to the bond. DO NOT list children, or persons with no rights to the bond.

4.	Bonds relating to Occupancy agreements may be lodged with the ACT Office of Rental Bonds. 

5.	Refunds are made by way of a ‘Not Negotiable’ cheque or Electronic Funds Transfer.

6.	To avoid unnecessary delays please ensure that the form is completed correctly.

7.	All persons listed on the Occupancy Bond Lodgment form must sign in the spaces provided in Items 3 and 4 of the form. The signatures will be used for comparison when a claim for refund of bond is lodged. If a third party is paying the bond on behalf of the occupant/s, and the third party is eligible for the refund at the end of the occupancy, then the third party should be listed as the occupant.

8.	The maximum amount of bond that can be charged is equivalent to 4 weeks rent. The grantor must provide a receipt to the occupant/s as proof of payment.

9.	Bonds paid by personal cheque will not be refunded less than 30 days from the date of lodgment. 

10.	Please make cheques payable to the ‘ACT Office of Rental Bonds’.

11.	ACT Office of Rental Bonds are unable to accept third party cheques.

12.	NEVER SIGN A BLANK FORM especially where item 1 is not completed.

13.	More information on rental bonds can be found in the Office of Fair Trading “The Renting Book” or at www.fairtrading.act.gov.au.

At the time a bond is lodged it is assumed that if there is more than one party to the bond, the bond is attributed in equal shares. If this is not the case, the ORB will require a signed statement from the parties indicating the distribution of the bond at the time the refund is claimed.

OFFICE HOURS	LOCATION	
8.30am to 4.30pm Monday to Friday		255 Canberra Avenue
Fyshwick   ACT   2609	
POSTAL ADDRESS	CONTACT NUMBERS	
PO Box 225  CIVIC SQUARE ACT 2608	Phone (02) 6207 1178            Fax (02) 6207 1181	
PRIVACY STATEMENT
The collection of information by this form is authorised by the Residential Tenancies Act 1997, and may be used by the Department of Justice and Community Safety for purposes authorised or permitted by the Act.  It will be treated confidentially and will only be made available to other Departments in circumstances relating to law enforcement.  Non-identifying information is regularly released to the Real Estate Institute of Australia.	

For contact details for the Office of Rental Bonds, please call 6207 1178 or go to www.rgo.act.gov.au