| Renter's and Agent's Name and Postal Address Window Face fields deleted. | 
|   | Item 1 | This notice is given to: (insert Renter/s tenant/s names) ……………………………………………………………………………………………………………………………...... | 
|   | Item 2 | Regarding the rented Premises at: (insert address of rented pPremises) ……………………………………………………………………………………………………………………………...... | 
|   | Item 3 | Tenant/s Address: (If same as address in item (2), you may write “as above”) ……………………………………………………………………………………………………………………………… | 
|   | Item 3 | Name of Rental Provider Landlord of the rented Premises: (cannot be the Agent’s name) ……………………………………………………………………………………………………………………………...... | 
|   | Item 4 | Address of Rental Provider Landlord of the rented Premises for the purpose of serving documents: (can be the Agent’s address) ……………………………………………………………………………………………………………………………...... | 
|   | Item 5 | Contact details telephone numbers of the Rental Provider or Agent Landlord: BH Business hours: (…)……………............................... AH After hours: (…)……………............................... Email address: ……………………………………………………………………………………………………………… | 
|   | Item 6 | This notice is given: (mark one only)                                                                                      On this date: __ by hand __ by registered post __ by ordinary post __ by email (with consent)       On this date: … / … / …   Renter’s postal or email address: …………………………………………………………………………………………................................................ | 
|   | Item 8 | Details of loss or damage caused by the breach in item (78): | 
|   | Item 9 | As the Renter Tenant you are required to remedy the breach (if possible) and or pay compensation to the Rental Provider Landlord within 3 / 7 / 14 days of receiving this Notice of Breach of Duty. Remedy the breach by: …………………………………………………………………………………………………………............................   
| OR       Compensation amount to pay: $…………………………………. |  
| 
 | Note: The Renter Tenant is required to remedy the breach stated in item (78) and pay the compensation stated in item 9 within: |  
| 
 | •3 days for breaches of Section 89 in respect to Sections 86(1) (b), (d) or (e); or •7 days for breaches of Section 60; or •14 days for breaches of Sections 60, 61, 63, 64, 70 or 89 (in respect to S 86 (1)(a), (c) or (f)); or •14 days for breaches of Section 89 in respect to Sections 86(1) (a), (c) or (f). |  | 
|   | Item 10 | Notes to the Renter Tenant: 
| •You must not commit a similar breach again. •Failure to comply with this notice will result in one of the following: |  
| (a) | The Rental Provider Landlord/Agent making an application for compensation or a compliance order with the Victorian Civil and Administrative Tribunal; or |  
| (b) | The Rental Provider Landlord/Agent serving you with a Notice of Intention to Vacate if Section 91ZP 240 (Successive Breaches by a Renter Tenant) applies. |  
| (c) | The Landlord / Agent serving you with a Notice to Vacate if Sections 249, 283 or 308 apply.  |  
| Further Aassistance: •If you want help with this Nnotice you can contact the Consumer Affairs Victoria Helpline on 1300 55 81 81 •Language interpreting services are available by contacting the Translating & and Interpreting Service (TIS) on 131 450 and requesting the assistance of an Information Officer at Consumer Affairs Victoria on 1300 55 81 81. |  | 
|   | Item 11 | Rental Provider Landlord/Agent’s Signature: ………………..………………….......... Date: …… / …… / …… Rental Provider Landlord/Agent’s Name: ……………………………………………….…………………............. | 
|   | NOTES | NOTES TO THE LANDLORD /AGENT: (not part of the notice) The Tenant is to receive one copy of this notice and the Landlord is to keep 2 copies of this notice. (You may need to send a copy of this notice with an application to the Consumer Affairs Victoria if the Tenant/s fails to remedy the breaches and you require the case to be heard) |