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CITY OF MELBOURNE – RENTAL QUESTIONNAIRE – 2016 GENERAL VALUATION Notice Pursuant to Section 3A (1) Valuation of Land Act 1960 Property Address Address: Section 1: Occupancy Details Occupier (Trading Name): Use of Premises: Occupier Type: Owner occupied complete sections 1, 3 & 4 New tenant complete all sections Existing tenant complete all sections Vacant complete sections 1, 3 & 4 Building area occupied: m2 Net lettable area or Gross lettable area Floors occupied: eg basement, ground, level 1: Car spaces: Section 2: Lease Details Current Rental: (excl.GST) per annum per month per week Type of Rental: (Please tick one) Net Gross Semi Gross Turnover Rent - tenant pays all outgoings - owner pays all outgoings - tenant and owner share the outgoings - based on a percentage of sales Lease commencement date: Term: Options: Last rent review date: Next Rent Review: Rent Reviews: Market CPI Fixed: Predetermined: Other (please specify): Rent review frequency: Annual 18 Mths 2 Yearly Other: Are rent reviews restricted from falling below the previous years rent? Yes No Have any incentives been granted with the current lease? Yes No If ‘Yes’, please specify: Rent free period Years Months Weeks Net Gross Cash payment Fit out contribution Who owns the fitout? Owner Tenant Does the rent include carparking? Yes No No of spaces: Is an additional rent paid for parking? Yes No No of spaces: per annum Section 3: Outgoings For year ending: Tenants share Owners share Total Council Rates Water Rates (excl. usage) Land Tax (Single Holding) Insurance (Building & Plate Glass) General Repairs & Maintenance Other: Section 4: Declaration I declare that the information supplied is true and accurate: Yes No Name: Email: Business Telephone: Mobile: Date: All information that Council collects is held in the strictest confidence. Council holds the information obtained in compliance with the Valuation of Land Act 1960 and the Privacy and Data Protection Act 2014. The information held by Council is provided to the Valuer-General Victoria for audit and certification of the General Valuation of the Municipality. The information you provide will not be disclosed to any other external party without your consent, unless required or authorised by law.

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Page 1: CITY OF MELBOURNE – RENTAL QUESTIONNAIRE – 2016 … · CITY OF MELBOURNE – RENTAL QUESTIONNAIRE – 2016 GENERAL VALUATION Notice Pursuant to Section 3A (1) Valuation of Land

CITY OF MELBOURNE – RENTAL QUESTIONNAIRE – 2016 GENERAL VALUATION Notice Pursuant to Section 3A (1) Valuation of Land Act 1960

Property Address

Address:

Section 1: Occupancy Details Occupier (Trading Name): Use of Premises:

Occupier Type: Owner occupied complete sections 1, 3 & 4

New tenant complete all sections

Existing tenant complete all sections

Vacant complete sections 1, 3 & 4

Building area occupied: m2 Net lettable area or Gross lettable area Floors occupied: eg basement, ground, level 1: Car spaces: Section 2: Lease Details Current Rental: (excl.GST) per annum per month per week

Type of Rental: (Please tick one)

Net Gross Semi Gross Turnover Rent

- tenant pays all outgoings - owner pays all outgoings - tenant and owner share the outgoings - based on a percentage of sales

Lease commencement date: Term: Options: Last rent review date: Next Rent Review: Rent Reviews: Market CPI Fixed: Predetermined: Other (please specify): Rent review frequency: Annual 18 Mths 2 Yearly Other: Are rent reviews restricted from falling below the previous years rent? Yes No Have any incentives been granted with the current lease? Yes No

If ‘Yes’, please specify:

Rent free period Years Months Weeks Net Gross Cash payment

Fit out contribution Who owns the fitout? Owner Tenant Does the rent include carparking? Yes No No of spaces: Is an additional rent paid for parking? Yes No No of spaces: per annum

Section 3: Outgoings For year ending: Tenants share Owners share Total Council Rates Water Rates (excl. usage) Land Tax (Single Holding) Insurance (Building & Plate Glass) General Repairs & Maintenance Other: Section 4: Declaration I declare that the information supplied is true and accurate: Yes No Name: Email: Business Telephone: Mobile: Date: All information that Council collects is held in the strictest confidence. Council holds the information obtained in compliance with the Valuation ofLand Act 1960 and the Privacy and Data Protection Act 2014. The information held by Council is provided to the Valuer-General Victoria for audit and certification of the General Valuation of the Municipality. The information you provide will not be disclosed to any other external party withoutyour consent, unless required or authorised by law.

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