Retail Lease Landlord Disclosure Statement Questionnaire

Please complete this form to provide your instructions to prepare a Retail Lease Landlord Disclosure Statement to be given to the tenant with the lease 14 days before the lease commencement date

CLIENT DETAILS (LANDLORD)

LANDLORD FULL NAME(S) (IF INDIVIDUAL) OR COMPANY NAME: *

IS THE NAMED LANDORD ACTING AS TRUSTEE OF A TRUST?NOYES, THE NAME OF THE TRUST IS:

LANDLORD ACN (IF A COMPANY):

Name of Trust

LANDLORD ABN:

LANDLORD ADDRESS:

LANDLORD EMAIL ADDRESS: *

LANDLORD PHONE: *

PREMISES DETAILS

ADDRESS OF PREMISES FOR LEASE: *

LETTABLE AREA OF PREMISES

WILL A SURVEY BE CONDUCTED? NOTE THIS IS OPTIONALYESNO

EXISTING STRUCTURES, FIXTURES, PLANT AND EQUIPMENT PROVIDED BY THE LANDLORD

Please select all items that are provided as part of the premises by the landlord.AIR CONDITIONINGCOOL ROOMFLOOR COVERAGEGREASE TRAPHOT WATER SERVICELIGHTINGMECHANICAL EXHAUSTPAINTED WALLSPLASTERED WALLSSHOP FRONTSINKSPRINKLERSSUSPENDED CEILINGSTELEPHONEWATER SUPPLYWASTEELECTRICAL DISTRIBUTION LOAD (3 PHASE)ELECTRICAL DISTRIBUTION LOAD (SINGLE PHASE)SEPARATE UTILITY METER—GASSEPARATE UTILITY METER—WATERSEPARATE UTILITY METER—ELECTRICITY

Please list any other fixtures, fittings or equipment provided by the landlord that are not included above

PERMITTED USE:

APPROX TOTAL NUMBER OF CAR PARKING SPACES AVAILABLE TO THE PREMISES

AVAILABLE NUMBER OF SPACES FOR CUSTOMERS OF THE BUILDING

NUMBER OF RESERVED SPACES FOR USE OF THE TENANT ONLY

IS THE PREMISES UNDER A HEAD LEASE OR CROWN LEASE?YESNO

IF THE PREMISES ARE UNDER A HEAD LEASE OR CROWN LEASE PLEASE UPLOAD A COPY OF THE LEASE OR PROVIDE THIS TO US AS SOON AS POSSIBLE FOR FURTHER ADVICE

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TERM, OPTIONS, RENT & FIT OUT WORKS

TERM OF LEASE:

LEASE COMMENCEMENT DATE:

LEASE OPTIONS:

DATE OF HANDOVER (IF DIFFERENT TO THE DATE THE LEASE COMMENCES):

LANDLORD'S WORKS:NOT APPLICABLELANDLORD WILL CARRY OUT THE FOLLOWING WORKS:Describe any works to be carried out by the landlord before the date the lease commences

LANDLORD WORKSPlease specify works Landlord agrees to undertake and agreed cost of those works

TENANT'S FIT OUT WORKS:THE TENANT IS RESPONSIBLE FOR ANY FITOUT WORKS AT THEIR OWN COST IN ACCORDANCE WITH THE TERMS OF THE LEASE AND MUST OBTAIN THE LANDLORD'S APPROVAL AND ALL NECESSARY COUNCIL BUILDING PERMITS AND ASSOCIATED APPROVALSOTHER (IF TENANT WORKS HAVE ALREADY BEEN AGREED PLEASE SPECIFY):

TENANT WORKSPlease specify if any tenancy works have already been agreed (e.g. fit-out, partitioning, installation of equipment).

ANNUAL BASE RENT PER ANNUM: $Please specify annual base rent excluding GST

NET RENTAL:PLUS GSTPLUS OUTGOINGSINCLUDING OUTGOINGSOTHER:

Net Rental Details:

SECURITY DEPOSIT PAYABLE BY TENANT INCLUSIVE OF GST: $Please specify the amount of the security deposit to be paid by the tenant and also specify how the deposit must be paid (e.g. by cash or bank guarantee). NOTE: A bank guarantee is usually preferred because it doesn’t require PPSR registration like a cash deposit does. If a cash deposit is used, the landlord may need to register their interest on the PPSR to protect it in case the tenant becomes insolvent. A bank guarantee avoids that risk and provides better security.

INCENTIVE (IF APPLICABLE):

RENT INCREASES (RENT REVIEW):Please specify how and when rent is to increase: Frequency (e.g. annually), Method (e.g. fixed %, CPI, or market review), % increase (e.g. 3% per year) and if a market review applies at renewal/start of further term

OUTGOINGS PAYABLE BY THE TENANT

IS THE TENANT REQUIRED TO PAY OR CONTRIBUTE TOWARDS THE LANDLORD'S OUTGOINGS?NO - THE TENANT IS NOT REQUIRED TO PAY OR CONTRIBUTE TOWARDS THE LANDLORD'S OUTGOINGSYES - THE TENANT IS REQUIRED TO PAY THE LANDLORD'S OUTGOINGS (PLEASE SPECIFY):e.g. of usual outgoings recoverable include council rates, water rates, building insurance and owners corporation fees

OUTGOINGS PAYABLE BY THE TENANT - Under section 52 of the Retail Leases Act 2003, landlords are responsible for maintaining and repairing key installations they have provided (such as air conditioning, plumbing, electrical systems, structural elements, and essential safety services), and these costs generally cannot be passed on to the tenant. The list below includes the types of outgoings that are commonly passed on to tenants in most retail leases. Please select those that apply to your premises. If you’re unsure, just make your best selection and we’ll review and advise you further.Owners Corporation / strata leviesBuilding InsuranceEssential Safety Measures (ESM) - e.g. fire equipment testing, exit signage, smoke alarms, fire doors)Government Rates and Charges – Local government council rates and chargesGovernment Rates and Charges – Fire services property levyGovernment Rates and Charges – Water rates for sewerage and drainage rates and chargesUtility Services – Electricity/Gas/Oil/Water consumption (tenant to establish connection and pay direct to provider based on consumption)Waste Management – Waste collection and disposal (if not already included in council rates)Other Outgoings (please specify)Select all that apply

Owners Corporation Straty Levies Estimated Annual amount:

AUD

Essential Safety Measures (ESM) Estimated Annual amount:

AUD

Council Rates Estimated Annual amount:

AUD

Government Rates and Charges – Fire services property levy Estimated Annual amount:

AUD

Water Rates Estimated Annual amount:

AUD

Building Insurance Estimated Annual amount:

AUD

Waste collection and disposal (if not already included in council rates) Estimated Annual amount:

AUD

IF APPLICABLE PLEASE SPECIFY DETAILS OF "OTHER" OUTGOINGS NOT LISTED ABOVE

IF APPLICABLE PLEASE ADD ANNUAL $ AMOUNT OF TOTAL "OTHER" OUTGOINGS NOT SPECIFIED ABOVE THAT ARE PAYABLE BY THE TENANT

AUD

Total Estimated Annual Outgoings Payable by Tenant

ARE THERE ANY KNOWN PLANNED ALTERATION WORKS (INCLUDING RENOVATIONS, EXTENSIONS, REDEVELOPMENT, DEMOLITION)?NOYES - Please specifyAre there any alteration, construction, or demolition works planned or known to the landlord at this time, whether affecting the premises, the building, surrounding roads, or any nearby or adjacent land, during the term or any further term of the lease? This includes any works by the landlord, nearby owners, council, or other third parties that may impact access, amenity, or trading conditions.

IF APPLICABLE PLEASE PROVIDE DETAILS OF THE KNOWN OR PROPOSED WORKS

ARE THERE ANY CURRENT LEGAL PROCEEDINGS IN RELATION TO THE LAWFUL USE OF THE PREMISES OR BUILDING?NOYES - Please provide details

IF APPLICABLE PLEASE PROVIDE DETAILS OF ANY CURRENT LEGAL PROCEEDINGS IN RELATION TO THE LAWFUL USE OF THE PREMISES OR BUILDING

REPRESENTATIONS BY LANDLORDPlease specify details of any other oral or written representations made by the landlord or the landlord's agent

PLEASE UPLOAD COPY ANY OWNERS CORPORATION RULES IF APPLICABLE - THE TENANT MUST BE GIVEN A COPY OF THESE RULES IF THE PROPERTY IS SUBJECT TO AN OWNERS CORPORATION

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If not currently available please forward to us as soon as possible

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