Tenant account - ONE OFF Payment

Tenant account - ONE OFF Payment
This authority is between…

Pacific Link Housing,
Suite G02, 280 Mann Street, GOSFORD NSW 2250
Phone: 4324 7617

and…
Full Name*

First NameLast Name
Email*
Address*

Street Address

Street Address Line 2

CityState

Post Code
I give Pacific Link Housing permission to pay any non-rent account charges from my rent payments in advance, until the account is paid in full, keeping my rent two (2) weeks in advance at all times.

Please indicate the amount you agree to pay as a one off payment towards your non-rent account.
$ Amount Notes: notes

Rerepairs & Maintenance Clcleaning Bond Water
I am aware that these payments are in addition to my fortnightly rent payments and it is my responsibility to notify my banking institution or Centrelink etc. of the extra amounts to be added to my fortnightly rent payments.

Please sign where indicated below
Print Name*
Date*

DayMonthYear
Date
Signature*
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