Application for a Verge Bond Refund Form

Application for a Verge Bond Refund
Team Name
Please complete the below form in order to request the refund of a Verge Bond held by the City that is related to a completed building application.
Bond Details
Amount ($)
Build Application Number
Building Application Type
Residential / Commercial / Industrial Premises:Demolition:Cancellation:Additions (ie: patio, carport, extensions):Swimming Pool:Other
Property Details
Lot
Street Name
House Number
Street Name
Suburb
Owner’s Name
Refund Details
I, confirm that the works at the above address have been completed and request, subject to Council approval, the refund of the Verge Bond to ;
Name
Contact Number
Postal Address
Signature :

Clear
Date

DayMonthYear
Should be Empty:

Application for a Verge Bond Refund