Consent for Refund of Excess Rent

Complete this form to request a refund of money in your rent account.

Note: This is only possible where there is an excess of 2 weeks rent in your rent account.

Your Privacy and Rights

NRH will store this information securely and keep it confidential. Your information will not be shared without your consent, except where required by law.

It will only be used:

For the purpose for which it was collected.
In line with our Privacy Policy and all legal obligations.

I understand that I can update or withdraw this information at any time by contacting NRH. *

Tenant Details

First Name *

Last Name *

Email Address *

Phone *

Property Address *

Street address *

City *

State *

Postcode *

Tenant Authorisation

I authorise Northern Rivers Housing (NRH) to refund the amount specified below from my rent account to my nominated bank account, provided my rent account is more than two (2) weeks in advance.

Amount *

Account Name *

Account Number *

BSB *

Reason for Refund

Tenant Signature *

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Date *

Let us know you are human *