Page 1 — Agreement Details
When and where the agreement was made, plus landlord info
Date and place
Date the agreement was made (DD/MM/YYYY)
Place the agreement was made (e.g. Sydney NSW)
Landlord
Landlord Name (1)
Landlord Name (2)
Landlord telephone or other contact details
If not in NSW, where the landlord ordinarily resides
Landlord's phone (if no landlord's agent)
Business or residential address of landlord(s)
Suburb
State
Postcode
Page 2 — Corporation, Tenants & Agents
If landlord is a corporation
Corporation Name
Business Address
Suburb
State
Postcode
Tenants
Tenant Name (1)
Tenant Name (2)
Tenant Name (3)
All other tenants here
Tenant's address for service of notices
Suburb
State
Postcode
Contact details
Landlord's agent (if applicable)
Agent name
Business address
Suburb
State
Postcode
Contact details (must include phone)
Tenant's agent (if applicable)
Agent name
Address
Suburb
State
Postcode
Contact details
Page 3 — Term, Premises & Rent
Term of agreement
Length of tenancy 6 months12 months2 years3 years5 yearsOtherPeriodic (no end date)
Other (specify)
Starting on (DD/MM/YYYY)
Ending on (DD/MM/YYYY) — leave blank if periodic
Residential premises
Address of premises
Inclusions (e.g. parking space, furniture)
Rent
Rent ($)
Rent paid per WeekFortnightOther
Other frequency (if selected)
Day rent must be paid
Date first rent payment is due
Rent paid by Approved electronic bank transferCentrepayOther
Details of payment method
Page 4 — Bond & Important Information
Rental bond
Rental bond ($)
Bond paid to The landlord or another personThe landlord's agentNSW Fair Trading (Rental Bond Online)
Important information
Maximum number of occupants
Electrical repairs - tradesperson
Electrical repairs - phone
Plumbing repairs - tradesperson
Plumbing repairs - phone
Other repairs - tradesperson
Other repairs - phone
Will tenant pay separately for water usage? YesNo
Is electricity supplied from an embedded network? YesNo
Is gas supplied from an embedded network? YesNo
Smoke alarms are HardwiredBattery operated
Battery replaceable by tenant? (if battery operated) YesNo
Page 5 — More Information
Smoke alarms & strata
Type of battery to use
Back-up batteries replaceable by tenant? (if hardwired) YesNo
Type of back-up battery to use
Owners corporation responsible for smoke alarms? YesNo
Are strata or community by-laws applicable? YesNo
Electronic notices
Does landlord consent to electronic service of notices? YesNo
Landlord's email for notices
Does tenant consent to electronic service of notices? YesNo
Tenant's email for notices
Page 17-18 — Signatures
Sign and date once everything above is complete
Landlord signature
Name of landlord
Signature of landlord
Day
Month
Year (last 2 digits, e.g. 25)
Landlord Information Statement
Signature of landlord
Day
Month
Year (last 2 digits)
Tenant 1 signature
Name of tenant
Signature of tenant
Day
Month
Year (last 2 digits)
Tenant 2 signature (if applicable)
Name of tenant
Signature of tenant
Day
Month
Year (last 2 digits)
Tenant Information Statement
Signature of tenant
Day
Month
Year (last 2 digits)
