Fillable Additional tenants bond lodgement form (Ministry of Business, Innovation and Employment New Zealand)

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Additional tenants bond lodgement form (Ministry of Business, Innovation and Employment New Zealand)

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Tenancy
Additional tenants bond lodgement form
T1A (11/20)
3a
Tenant 5 details
Full name
Bond contribution
Are you a first time tenant? Yes
Date of Birth
D D M M Y Y
Contact phone
(optional)
3b
Tenant 5 new address for service Email will be first point of contact if provided
Email
Room no.
(for boarding house
or room only tenancy)
Unit
House no.
Street
Suburb
City
PO Box or
Private Bag
Postcode
By signing this form you agree that the
information you have provided is true and correct
Signature
Date
D D M M Y Y
2a
Tenant 4 details
Full name
Bond contribution
Are you a first time tenant? Yes
Date of Birth
D D M M Y Y
Contact phone
(optional)
2b
Tenant 4 new address for service Email will be first point of contact if provided
Email
Room no.
(for boarding house
or room only tenancy)
Unit
House no.
Street
Suburb
City
PO Box or
Private Bag
Postcode
By signing this form you agree that the
information you have provided is true and correct
Signature
Date
D D M M Y Y
1a
Tenant 3 details
Full name
Bond contribution
Are you a first time tenant? Yes
Date of Birth
D D M M Y Y
Contact phone
(optional)
1b
Tenant 3 new address for service Email will be first point of contact if provided
Email
Room no.
(for boarding house
or room only tenancy)
Unit
House no.
Street
Suburb
City
PO Box or
Private Bag
Postcode
By signing this form you agree that the
information you have provided is true and correct
Signature
Date
D D M M Y Y
4b
Tenant 6 new address for service Email will be first point of contact if provided
Email
Room no.
(for boarding house
or room only tenancy)
Unit
House no.
Street
Suburb
City
PO Box or
Private Bag
Postcode
By signing this form you agree that the
information you have provided is true and correct
Signature
Date
D D M M Y Y
4a
Tenant 6 details
Full name
Bond contribution
Are you a first time tenant? Yes
Date of Birth
D D M M Y Y
Contact phone
(optional)
Use this form to provide additional tenants details and attach it to your Bond lodgement form.
Tenancy
Privacy statement
Personal Information provided on
this form will be held and used by
theMinistry of Business, Innovation
and Employment for the purposes
ofadministering and enforcing the
Residential Tenancies Act 1986.
It may also be used for carrying out
customer surveys, public education
and statistical analysis, and we may
occasionally provide your information
to third parties to carry out this work
on our behalf.
We collect date of birth information
to help us correctly identify you.
Supplying your date of birth is
optional.
Bond contribution information
provided to Tenancy Services may
beused to help confirm refund
details for each tenant at the end
ofthe tenancy. Supplying this
information is optional.
The personal information you supply
will not be used for any other reasons
unless permied under the Privacy
Act 2020 (e.g. with your consent or
for a directly related purpose). The
information may also be provided
tothird parties where it is required
orpermied by law. The personal
information you supply will be
provided to all parties named on this
form or on the bond record. You can
access or correct your personal
information held by us at any time.
Address for service
This information will assist Tenancy
Services to contact you regarding this
bond and to minimise any delays in
paying out/refunding the bond when
the tenancy finishes.
Tenant’s address for service:
If you provide an email address, we
will use this as the primary means for
communication. If we need to contact
you at a street address during your
tenancy we will use the address of
the rented property or the address
for service you give us. A new address
for service is required aer the
tenancy has ended.
In addition to a street address,
a PO Box can also be provided to
be used as an address for service.
PLEASE NOTE: By providing a PO Box
or email address, you are authorising
Tenancy Services to use these to
contact you.
Any questions?
All our forms and other
information are on our website
at www.tenancy.govt.nz
If you have any questions about
this form or need more information
about bonds, please Freephone
0800 737 666 or contact us by
email at www.tenancy.govt.nz/
contact-us
Ki te mea he pātai āu mō tēnei puka,
kei te pīrangi pārongo rānei mō
te moni here (bond), waea koreutu
0800 737 666, whakapā rānei ki a
mātou i te īmēra www.tenancy.govt.
nz/contact-us
’A iai ni fesili e uiga i lenei pepa
pe mana’omia fo’i nisi fa’amatalaga
e uiga i le tupe fa’amau (bond),
fa’amolemole telefoni mai i le numera
0800 737 666, pe feso’ota’i mai ile
emeli www.tenancy.govt.nz/
contact-us
若您有任何关于本表格方面的疑问, 或是
希望获得 有关押金的更多详情, 请拨打我
们的免费热线电话 0800 737 666, 或发
送电邮至以下网站内的相应电邮 地址,
与我们联系: www.tenancy.govt.nz/
contact-us
If you have questions about your
rights and obligations when renting
call our tenancy information line
Freephone: 0800 TENANCY
(0800 83 62 62)
How to send us your form(s)
Online: If paying online, please go to
www.tenancy.govt.nz and follow the
‘Lodging a bond online’ instructions.
Post: If paying by cheque, please
send this form and cheque (made
payable to Tenancy Services) to:
Tenancy Services
PO Box 50 445
Porirua 5240
MBIE 6204 T1A (11/20)
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Additional tenants bond lodgement form (Ministry of Business, Innovation and Employment New Zealand)

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Completed 16 February 2021

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