continued 6. Have you already found a place you would like to rent? IF NO El Fill out the declaration section on page 12, then return this form to the Housing SA. IF YES gi What date does your tenancy start, You must now: 1) Have the property owner/agent fill out the Property Owner/Agent's Declaration Form o

f Debt and dertaking to Repay I hereb acknowled e that I owe Housin SA e amount of $950.00 as at 13/11/2012. I hereby agree to pay that amount to the Housing SA in Fortnightly instalments of $20.00 commencing on 26/11/2012 a well as any other amount I owe Housing SA now or in the future. I confirm that ins

E continued 6. Have you already found a place you would like to rent? IF NO K Fill out the declaration section on page 12, then return this form to the Housing SA. IF YES a hat date does your tenancy start? _5_ / b Oct You must now: 1) Have the property owner/agent fill out the Property Owner/Agent's Decla