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Rent Deferment Agreement -Form Fill

Section One
Q1

Tenant Address
Q2

Tenant's Cell Number

Phone Number
Q3

Tenant's Email Address
Q4

Rent Reduction Amount applied for in Rand value per month
Q5

Rent Reduction Amount In Percentage per Month
Q6

Date of Initial Reduction

Date
Q7

Number of Months remaining on the Lease Agreement (Office use)
Q8

Current Rental Per Month
Q9

Interest Percentage to be charged
Q10

Other ancillary cost
Q11

Total Amount Due
Q12

I the Applicant acknowledge that I have read through this document and familiarise myself with the content thereof
Q13

Signature