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

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

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Tenancy
Additional tenants bond refund form
Use this form to provide additional tenants’ details and attach it to your Bond refund form
T2A (11/20)
4a
Tenant 6 details
Full name
Contact phone
Tenant 6 to receive
Bank account
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
3a
Tenant 5 details
Full name
Contact phone
Tenant 5 to receive
Bank account
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
Contact phone
Tenant 4 to receive
Bank account
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
Contact phone
Tenant 3 to receive
Bank account
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
This must be a New Zealand bank account.
This must be a New Zealand bank account.
This must be a New Zealand bank account.
This must be a New Zealand bank account.
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.
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.
Refund details
This section shows how you have
agreed the bond money will be paid
out to the tenant(s).
Tenant refund details
The tenant(s) should complete this
section.
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)
Send us your form
The fastest way to get your
form to us is by emailing it
to bonds@tenancy.govt.nz
or post it to:
Tenancy Services
PO Box 50445
Porirua 5240.
MBIE 6204 T2A (11/20)
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Additional tenants bond refund form (Ministry of Business, Innovation and Employment New Zealand)

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Completed 24 September 2021

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