FORM03 RTA - Notice of tenants death

Form 3

Residential Tenancies Act 1995 (section 79B(3))
Notice of termination by administrator of sole tenant's estate or sole tenant's next of kin following the tenant's death
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agentName
Note - There are a number of ways in which a tenancy may be terminated under the Residential Tenancies Act 1995, some of which include applying directly to the South Australian Civil and Administrative Tribunal.
To
Landlord/Agent Name
Administrator / Next of Kin
I, [insert name]
[Tick 1 box]

the administrator of the estate of the deceased tenantthe next of kin of the deceased tenant
give the notice of termination of a residential tenancy agreement between (below) as tenant and you as landlord in respect of the premises:
Tenant
Deceased Tenant Name
Address of rented premises
Street 1
Street 2
Suburb
State
Postcode
on the ground (below) has died.
Termination Date

DayMonthYear
Address of Administrator/next of kin:
Street 1
Street 2
Suburb
State
Postcode
Service of notice
This notice was served on

DayMonthYear
by: [Tick 1 box]

personally handing it to the landlord/agentmailing it to the landlord/agentplacing it in the landlord's/agent's letterboxemailing it to the landlord/agentother
uniqueSubmissionReference
Should be Empty:

Form 3