Fillable ID D BOND REFUND FORM and Business Services (Services Australia)

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ID D BOND REFUND FORM and Business Services (Services Australia)

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The ID D BOND REFUND FORM and Business Services (Services Australia) form is 2 pages long and contains:

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and Business Services
I I I I I I I
ID
D
----
--~---------,
I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I
Consumer and Business Services
Post: GPO Box 965, ADELAIDE SA 5001
Telephone: 131 882
Email: bondfollowup@sa.gov.au
BOND NUMBER
Fax: 08 8204 9570
BOND REFUND FORM
How many bond receipts have been issued for
this tenancy? (insert number)
PLEASE COMPLETE FORM IN CLEAR PRINT USING BLUE OR BLACK PEN
Date tenancy ended: / /
Address of rental premises (USE BLOCK LETTERS)
Postcode
Name of tenant/resident 1:
Residential tenancy? Ask the landlord/age
Daytime phone no:
nt if bond is
Amount to be paid to
tenant/resident 1
$*
SIGNATURE of tenant/resident
Do not sign a blank form
Forwarding address
lodged online. If so, tenants must attach proof of ID
Name of Australian bank/building society/credit union
Complete ALL account details for EFT payment and
Name of account holder
don't forget your signature
BSB no - Account no
Date / /
Name of tenant/resident 2:
Daytime contact no:
Amount to be paid to
tenant/resident 2
$*
SIGNATURE of tenant/resident
Do not sign a blank form
Forwarding address
Name of Australian bank/building society/credit union
BSB no - Account no
Date / /
Name of tenant/resident 3:
Daytime contact no:
Amount to be paid to
tenant/resident 3
$*
SIGNATURE of tenant/resident
Do not sign a blank form
Forwarding address
Name of Australian bank/building society/credit union
BSB no - Account no
Date / /
Amount to be paid to HOUSING SA
$*
Name of landlord/agent/proprietor:
Daytime contact no:
Amount to be paid to
landlord/agent
/proprietor
$*
SIGNATURE of
landlord/agent/proprietor
Do not sign a blank form
Forwarding address
Name of Australian bank/building society/credit union
BSB no - Account no
Date / /
(* Add together all the $ amounts listed and insert the total here.
This amount must equal the total amount of bond held by Consumer and Business Services)
Total bond
$
NB. • The name and signatures above must match those on the documentation currently held by this office.
• The bank account details must match the parties of the bond. We cannot pay moneys into a third party account.
• If the EFT details do not match, or are incomplete, the EFT will be rejected and a cheque will be drawn.
By completing the above EFT details you are:
• Authorising Consumer and Business Services to use the listed number to transfer moneys owing to you into your account listed above.
• Guaranteeing that the information provided above is correct, and agreeing to indemnify Consumer and Business Services against any
loss or damage suffered if the details provided are incorrect.
PLEASE ENSURE YOU READ THE REVERSE INFORMATION PRIOR TO COMPLETING THIS FORM
Page 1 of 2
click to sign
signature
click to edit
of
South Australia
Attorney-General's Department
APPLYING FOR A BOND REFUND WHERE BOTH PARTIES AGREE:
Both parties complete, sign and lodge this form with Consumer and Business Services.
NB: The signatures of both parties are not required where the person who signs this f orm is not seeking any
portion of the bond money. However, the person whose EFT details appear on the form must sign it.
APPLYING FOR A BOND REFUND WHERE BOTH PARTIES DO NOT AGREE, OR THE
OTHER PARTY IS UNABLE TO SIGN:
If a bond is claimed by the tenant without the consent of their landlord/agent/proprietor, the landlord/
agent/proprietor is notified of the claim and given an opportunity to dispute it. If the claim is disputed the
landlord/agent/proprietor will be required to lodge an online application with SACAT. If the claim is not
dipsuted the bond wll be paid to the tenant.
If a bond is claimed by the landlord/agent/proprietor without the tenant/resident's consent, the
tenant/resident is notified and given an opportunity to dispute it. If the claim is disputed, the
landlord/agent/proprietor will be required to lodge an online application with SACAT. If there is
no response by the tenant/resident, the landlord/agent/proprietor will be required to provide CBS
with evidence of their claim and if the claim is not substantiated it may be refused and the
landlord/agent/proprietor will then need to make an application to SACAT. If the claim
is not disputed the bond will be paid to the landlord/agent/proprietor.
IMPORTANT
1. Payment is made by electronic funds transfer or cheque and is available upon presentation of this form,
providing that all details are fully completed and correct.
2. The signature of the parties signing this claim should be the same as those appearing on the bond
lodgement form. If not, the change should be advised in writing, containing the signatures of both original
and new parties.
3. Any alterations on this form must be signed in full by all parties.
4. Always quote your bond number in any communication with Consumer and Business Services.
5. Tenant/resident refunds will be paid equally to all tenants/residents appearing on the documentation
currently held by this office unless the authority below is completed.
6. Bonds cannot be partially refunded.
7.
Tenants/residents moving to another country should keep their Australian bank account open so their
bond refund can be paid into that account. Tenants/residents who need their bond refund paid into an
overseas bank account will need to lodge an International Money Transfer form with CBS. The overseas
bank may charge a fee.
Section to be completed ONLY if 1 tenant is claiming the full tenant/
resident portion of the bond refund in a multiple tenant occupancy.
I authorise Consumer and Business Services to make this payment in my name only.
I understand that if there is a dispute to this payment, it may lead to a civil claim and is not the
responsibility of Consumer and Business Services.
Name: ............................…....…….............. Signature .…………................................................
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03/15
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ID D BOND REFUND FORM and Business Services (Services Australia)

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Completed 14 January 2021

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