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Form 2 – Residential Tenancies Act 1995

Landlord’s notice of breach to tenant: termination of agreement
Part 1
Name of tenant/s: …………………………………………………………………………..……………...
Address of rented premises: …………………………………………………………….……..………...
I give you notice that you are in breach of your agreement at the above premises.
Type of breach: (tick relevant box)
Unpaid rent only
Rent (or part of rent) has remained unpaid for at least 14 days (refer to ‘Important information for landlords’).

Other breach of agreement
A breach other than (or in addition to) unpaid rent, such as unpaid water or property damage.
There are two types of breaches – ‘unpaid rent only’ and ‘other breach of agreement’. The type of breach will determine
the period of time you must give the tenant to give up possession of the premises (see Part 3). You must choose ‘other
breach of agreement’ if serving this notice for both unpaid rent and any other breach of agreement.

The breach is:
……………………………………………………………………………………………........