1. Your First Name

First name of the person who is completing this form

2. Your Middle name

Middle name of the person who is completing this form

3. Your Last Name

Last name of the person who is completing this form

4. Your Email Address

Best email address to contact the person who is completing this form

5. Your Phone Number

Best phone number to contact the person who is completing this form

6. What type of entity is the Landlord?

NOTE: If you select 'Other' then details of the landlord will need to be
confirmed with one of our solicitors

7. How many entities/people make up the Landlord?

NOTE: If more than 2, you will need to discuss this with one of our
solicitors

9. Landlord ABN/ACN

NOTE: If the landlord acts as the trustee of a trust, please insert ABN
and not ACN

10. What type of entity is the Tenant?

NOTE: If you select 'Other' then details of the Tenant will need to be
confirmed with one of our solicitors

11. How many entities/people make up the Tenant

13. Tenant ABN/ACN

NOTE: If the Tenant acts as the trustee of a trust, please insert ABN
and not ACN

14. Number of Guarantors

NOTE: Not all lease have Guarantors - if there are more than
3 Guarantors, you will need to discuss this with one of our solicitors

15. Street address of the leased premises

16. Start date for the current term of the lease

17. End date for the current term of the lease

18. Current rent amount per month (excl. GST)

NOTE: Insert the monthly rent amount that the tenant was currently
obliged to pay (excl. GST) before any reduction is applied

19. Has the Tenant failed to make any payment that is due under the lease?

NOTE: If you answered ‘Yes’ you will need to discuss this with one of our
solicitors if it is to be addressed in the Deed

20. Are there any outstanding default notices that were issued by the Landlord before the pandemic?

NOTE: If you answered ‘Yes’, you will need to discuss this with one of
our solicitors if it is to be addressed in the Deed

21. What date have the parties agreed shall be the first date of the Rent Relief Period?

NOTE: This must be a date no later than 29 March 2020

22. What date have the parties agreed will be the final date of the Rent Relief Period?

NOTE: This must be a date no earlier than 29 September 2020

23. What is the reduced amount of rent (excl. GST) that the Tenant shall pay to the Landlord in each month during the Rent Relief Period?

NOTE: Give your answer in $ and exclusive of GST - if this amount is
to change throughout the Rent Relief Period, you will need to discuss this
with one of our solicitors if this is to be reflected in the Deed

24. Out of each rent payment that falls due during the Rent Relief Period, what amount (excl. GST) have the parties agreed is to be permanently waived?

NOTE: Give your answer in $ and exclusive of GST

25. Out of each rent payment that falls due during the Rent Relief Period, what amount (excl. GST) have the parties agreed is to be deferred and repaid by the Tenant over time?

NOTE: Give your answer in $ and exclusive of GST - your answers to
Q23, Q24, and Q25 must add up to the Current Rent Amount listed in
your response to Q18

26. Is the deferred rent to be repaid by the Tenant in equal monthly instalments?

NOTE: If your answer is "No" you will need to discuss your agreement
with one of our solicitors if this is to be reflected in the Deed

27. On what date is the tenant to commence repaying the deferred rent?

NOTE: The default position is that repayments will commence on the
earlier of (1) the expiry of the Rent Relief Period, and (2) the expiry of the
current term of the lease (before any variation to this date)

28. Over how many monthly instalments will the Tenant repay the deferred rent to the Landlord?

NOTE: The default position is that repayment must occur over the longer
of (1) 24 months, and (2) the remainder of the current term of the lease
(as varied by the parties)

29. Have the parties agreed to change the end date of the current term of the lease?

NOTE: The Landlord is required to offer the Tenant an extension of the
current lease term that is equal to the length of the Rent Relief Period

30. What is the date on which the rent is next scheduled to be increased/reviewed under the lease?

31. Have the parties agreed that the next scheduled rent increase/review is to be delayed?

NOTE: The default position is that rent cannot be increased between
29 March 2020 and 29 September 2020, unless the parties agree
otherwise

32. Have the parties agreed that the date of any later rent increase/review will also be changed?

NOTE: If you answered 'Yes' you will need to discuss this with one of our
solicitors if this is to be reflected in the Deed

33. Have the parties agreed to vary the tenant’s obligation to pay Building Outgoings (including council rates, water rates, landlord’s insurance, body corporate fees) or expenses under the lease?

NOTE: If you answered 'Yes' you will need to discuss this with one of our
solicitors if this is to be reflected in the Deed

34. Is there any part of your agreement that has not been addressed in your answers to these questions?

NOTE: if you answered 'Yes' you will need to discuss this with one of our
solicitors if this is to be reflected in the Deed

35. Are you unsure of your answers to any of these questions?

NOTE: If you answered "Yes" you should contact Hill Legal to discuss
this one of our solicitors