This form is to be used for a residential parks long-stay tenancy.

A park operator / managing real estate agent may issue this notice if a tenant has breached a term of a long-stay agreement (except a term for the payment of rent) AND the park operator / managing real estate agent has given a default notice to the tenant in relation to that breach.

This notice can require vacant possession of the agreed premises before the last day of the term of a fixed term tenancy; or a period of a periodic tenancy, as the case may be.