RS Chase LawyersONLINE FORMSRETAIL & COMMERCIAL LEASE INSTRUCTION FORM Real Estate Agent Details Landlord Details Please Select: Mr.Mrs.MissMs. Please Select below : If more than two landlords please tick here :Yes and attach details (upload files) Mr.Mrs.MissMs. Tenant Details Please Select : Mr.Mrs.MissMs. Please Select below : If more than two tenant please tick here : Yes and attach details (upload files) Mr.Mrs.MissMs. Guarantor Please Select: Mr.Mrs.MissMs. Premises Information GST Applicability Please Select : GST ApplicableGST Not ApplicableITC Percentage Connected Services Please Select : ElectricityGasWaterSewerageTelephoneNational Broadband Network Landlord Installations Rent Please Select : Plus GSTPlus Outgoings To be paid: Monthly Term of Lease Special Conditions : YesNo If you elected YES above, we will contact you to discuss appropriate conditions for your lease. Authority I/We hereby instruct RS Chase Lawyers to act on my/our behalf in relation to preparation of the lease and disclosure statement for the premises described in this form. I/We aknowledge that RS Chase Lawyers are reliant upon the information and instructions supplied from this form. Please Sign your e signature in the below box using your Mouse Please Sign your e signature in the below box using your Mouse Name: Name: Date: Date: Liability limited by a scheme approved under Professional Standards legislation