Fillable Rent Variation Agreement due to COVID-19 (New South Wales)

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Rent Variation Agreement due to COVID-19 (New South Wales)

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Rent Variation Agreement due to COVID-19
This agreement is for landlords and tenants who have negotiated a variation to the rent
payable under a residential tenancy agreement as the tenant is an eligible COVID-19
impacted tenant.
A. Address of Rental Premises
Unit No: Street
No:
Street
Name:
Suburb: Postcode:
B. Landlord Details
Name: Mobile:
Email:
C. Agent Details
Name: Mobile:
Email:
Agency:
D. Tenant Details
Name: Mobile:
Email:
Name: Mobile:
Email:
Name: Mobile:
Email:
Agreement
1. The landlord and tenant/s agree to the following variation/s to the above residential
tenancy agreement.
2.
The landlord and tenant/s acknowledge that the landlord c
an claim a rebate from the
NSW Government towards rent that is waived from 14 July 2021 up to an amount of
$3000 or the amount waived, whichever is lower.
3. The landlord cannot seek payment from the tenant/s for the amount paid by way of
rebate.
4. The tenant/s agrees to notify the agent/landlord if their financial circumstances change
during the period of this agreement.
5. The terms of this agreed variation may be extended or varied with the agreement of both
the landlord and tenant/s.
Rent waived:
Rent payable under the current Tenancy
Agreement:
$ Weekly / Fortnightly / Monthly
Agreed rent amount to be waived: $ Weekly / Fortnightly / Monthly
Agreed rent payable after waived amount
is deducted:
$ Weekly / Fortnightly / Monthly
Period of rent waive
r
Start Date: End Date:
Total rent to be waived: $
*Note: This part of the agreement is subject to the rebate as outlined in points 2 and 3 above.
Note: if there are more tenants, please attach a list of the additional tenants details.
Deferral of rent
Rent payable under the current Ten
ancy
Agreement:
$
Weekly / Fortnightly / Monthly
Agreed rent amount to be deferred: $ Weekly / Fortnightly / Monthly
Agreed rent payable after deferred
amount is deducted:
$ Weekly / Fortnightly / Monthly
Period rent is deferred Start Date: End Date:
Total rent deferred: $
*Note: The landlord retains the right to seek payment from the tenant/s for deferred rent.
Any deferred rent should be included in the Repayment Plan below.
Repayment Plan (if applicable)
Current arrears: $
As at date:
Arrears accrued under deferred rent:
$
Total arrears: $
To be repaid at an amount of: $
Weekly / Fortnightly / Monthly
Over the period: From: To:
Date of agreement:
Landlord/Agent Signature:
Tenant’s Name: Tenant’s Signature:
Tenant’s Name: Tenant’s Signature:
Tenant’s Name: Tenant’s Signature:
Note to landlord: To ensure compliance with privacy laws, you must obtain the written
consent of each tenant to provide their personal information to the Department of Customer
Service. Please complete the ‘Consent to Provide My Details’ form and ensure it is signed
by each tenant.
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Rent Variation Agreement due to COVID-19 (New South Wales)

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Completed 18 August 2021

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