Rental Minimum Standards

Mandatory Disclosure Statement

This Disclosure Statement helps renters make informed decisions before signing a new lease. Some of our clients have asked if this form needs to be done every time a lease is renewed. The short answer is yes. Each time a new lease or renewal is signed, a fresh form is required, because property conditions or your circumstances may change year to year. It is important: there’s a penalty of up to 60 penalty units (currently around $11,000) for not providing this form when required - So please complete it, in its entirety.
Property Address*
Are you the owner of the property?*

YesNo
If No, under what rights are your letting the property? ie. Power of attorney*
Is there a current dispute under Part 10 of the Owners Corporations Act 2006** which applies to or affects the rented premises?*

YesNoN/A
If yes please provide details:*
Do you intend to sell the premises?*

YesNo
If yes:*

I have engaged an agent to sell the propertyA contract of sale has been prepared for the property
Is there a mortgagee taking action for possession of the rented premises and has commenced a proceeding to enforce a mortgage over the rented premises?*

YesNo
To the best of your knowledge, the property or common property has been the location of a homicide in the last 5 years?*

YesNoDon't know
To the best of your knowledge, the property is affected by a building or planning application lodged with a relevant authority?*

YesNoDon't know
Is the property a heritage listed place, on the Heritage Register?*

YesNo
To the best of your knowledge, has the rented premises has been contaminated because of prior use of the rented premises for the trafficking or cultivation of a drug of dependence in the last 5 years?*

YesNoDon't know
In the last 3 years, have you received a repair notice(s) seeking repair of mould or damp caused by or related to the building structure?*

YesNo
Is there any current Mould/Dampness at the property that is related to the building structure?*

YesNoDon't know
To the best of your knowledge, does the rented premises have friable or non-friable asbestos based on (identified by) an inspection by a suitably qualified person?*

YesNoDon't know
Is the rented premises or common property is the subject of any notice, order, declaration, report, or recommendation issued by a relevant building surveyor, municipal building surveyor, public authority or government department relating to any building defects or safety concerns associated with the rented premises or common property at the time of disclosure?*

YesNoDon't know
If yes please provide details:*
Is there a current domestic building work dispute under the Domestic Building Contracts Act 1995 which applies to or affects the rented premises?*

YesNo
If yes please provide details:*
Is the premises fitted with an embedded network? ie. a fixed supplier that the renter can only sign up with*

YesNoN/A
What is an embedded network?

An embedded network is a private electricity, gas, or internet network that’s set up within a larger site ie: in an estate, apartment building or townhouse complex. Instead of each unit being directly connected to the main electricity grid, the entire property is connected through a single supply point (a parent meter). The network operator or owners corporation then “on-sells” utilities to each resident or business through individual sub-meters. Renters may have limited choice in energy retailer - often you must stay within the embedded network provider unless you opt out (which isn’t always practical).Billing disputes or connection issues need to be handled through the embedded network operator, not a standard retailer.

Are you aware of any exclusions to be disclosed to the renter?*

YesNo
If yes please provide details:*
Does the property meets the rental minimum standards?*

YesNo
For the next questions, if you are unsure, please select todays date and the property manager will update or arrange as required
When an electricity safety check was last conducted at the premises?*

DayMonthYear
Date
When a gas safety check was last conducted at the premises*

DayMonthYear
Date
When a pool barrier compliance check was last conducted at the premises (if applicable)

DayMonthYear
Date
Were there are any outstanding recommendations from the electricity or gas check*

YesNoDon't know
If the answer is yes, a description of the outstanding recommendations is to be provided in 'Further information' below*
Rental Provider’s declaration

I declare that the information given on this form is true and correct to the best of my knowledge, I have not knowingly withheld information that is likely to have an impact on the proposed use of the Premises by the Renter.
Name/s of the person/s making this declaration:*
Signed by the Rental Provider/s:*

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Signature

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Name of the Rental Provider’s authorised representative or Rental Provider’s Agent:
Lehna Angelino
Should be Empty:

	Gas Supply	Electricity Supply	Internet Provider
Supplier Name
ABN
Phone Number
Website
Electricity tariffs and all other fees and charges applicable (or where that information may be accessed)

Mandatory Disclosure Statement

What is an embedded network?

Rental Provider’s declaration