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Property Services Unit 1 APPLICATION TO LEASE Please remember that all property is held in the name of the Uniting Church in Australia Property Trust (W.A.). Property dealings are to be undertaken in accordance with Section 4 of the UCA regulations and Part 4 of the By-laws of the UCA Synod of Western Australia. This form is to be: Completed by congregations, presbyteries and agencies seeking approval to lease property either owned by The Uniting Church in Australia Property Trust to a tenant, or to lease a property owned by a non-uca entity. Forwarded to Property Services Unit by the Congregation or Agency as applicable. SECTION A: APPLICANT AND PROJECT DETAILS 1. BENEFICIAL USER Congregation* Contact Person Rev / Dr / Mr / Mrs / Ms / Miss Position Email Phone BH Mobile Address (Postal) * Organisation name if not a Congregation 2. LOCATION AND DESCRIPTION OF PROPERTY TO BE LEASED Name of property (if applicable) Title Particulars Volume Folio Type of property Manse Description of property, including assessment of overall condition Address (Street) Form 1 Application to Lease 1 of 6

3. REASON FOR LEASE Please advise briefly the reason for seeking to lease this property, is this part of your Strategy and Mission plan Does this have the approval of the Presbytery Mission Planner? Yes No 4. PROPOSED TERMS OF LEASE Will the applicant be: (please indicate) Is this lease application for a: Lessor (Grant Lease) New Lease Lessee (Take Lease) Renewal (please indicate) Will the lease be for: (please indicate) Residential Commercial Proposed Rental Amount $ per week / month (please circle) Market Rental Value $ Who provided the Market Rental Value Valuation Date Term of Lease Options Special Conditions on Lease If the proposed rental is less than recommended market rates, please advise reason. Name of proposed tenant(s), if known NOTE: Where there is an agreement for the property to be used by a UCA Agency, please submit a copy of the Memorandum of Understanding together with this application. 5. PROPERTY UNDER OVERSIGHT OF APPLICANT Please list all property under the oversight of the applicant. (eg manses, churches, vacant land, shops etc) November 2017 2 of 6

SECTION B: FINANCIAL DETAILS 6. ESTIMATED RENTAL INCOME & EXPENDITURE Gross Rental Income/ Expenditure per annum Does this include GST? Less rental costs: Grant Lease Take Lease $ per week/month $ per week/month Insurance $ $ Rates (Local councils may charge rates when property becomes incomeproducing) $ $ Land Tax $ Not Required Annual maintenance provision $ Not Required Maintenance reserve $ Not Required Other costs e.g. Utilities $ $ Agent s costs $ $ Net Rental Income / Expenditure $ $ 7. LEASE FUNDING DETAILS - FOR PROPERTIES LEASED BY UCA How will lease outgoings be financed? Provide details. NOTE: Please refer to the APPENDIX for further information regarding: Land Tax and leasing church property GST implications for leasing property November 2017 3 of 6

SECTION C: PROPERTY INFORMATON FOR LEASE OF PROPERTY OWNED BY THE UNITING CHURCH IN AUSTRALIA PROPERTY TRUST 8. NAME OF REAL ESTATE AGENCY TO BE ENGAGED (If not applicable, go to next section) Name of Agent N/A Address (Postal) Phone (BH) Contact Person Mr / Mrs / Ms / Miss Email Fax Agency commission % Advertising budget $ 9. PROPERTY MANAGEMENT BY A CHURCH COUNCIL OR UNITINGCARE AGENCY REPRESENTATIVE (Only to be completed if no Real Estate Agent is engaged) Contact details of person responsible for collecting rent, dealing with maintenance and other queries from the tenant. Name Rev / Dr / Mr / Mrs / Ms / Miss Position Address Phone (BH) Mob Email Please advise why an agent is not being engaged for management of this property. November 2017 4 of 6

CONGREGATION / AGENCY BOARD APPROVAL Name of Congregation/Organisation: Certified Copy of Resolution: We hereby certify that at a meeting of.duly convened in accordance with Assembly Regulations 4.4.3 and 4.4.4 held on the day of... 20., the attached resolutions were duly passed.(attach copy of resolutions). The voting was: FOR AGAINST ABSTAINING PRESENT Please attach a copy of the relevant minute Signed: Signed: Date: Name: Position: Date: Name: Position: SYNOD / PRESBYTERY OFFICE USE ONLY Application Reference Number # Presbytery Mission Planner Approval Yes No Board Approval Yes No November 2017 5 of 6

APPENDIX: FURTHER INFORMATION CONTRACTS Once an application has been approved, ALL lease documentation must be signed by a member of The Uniting Church in Australia Property Trust (W.A.). This is the legal entity of the church and only Trust members have the authority to sign legally binding documents on behalf of the church. Please ensure that any contracts are completed with the owner (or the tenant) shown as the appropriate Property Trust, as noted above, and are sent for signing to the Property Officer, GPO Box M952, Perth WA 6843. PRACTICAL MATTERS 1. The completed Application to Lease is to be sent to the Property Services Unit. 2. The application will be assessed by the Property Services Unit to ensure it is correctly completed before referring it to the Presbytery Property Committee 3. The Presbytery Property Committee will review the application and make its recommendation to the Resources Commission for approval. ENQUIRIES Enquiries relating to leasing or completing this form should be directed to the following: Property Services Unit: Ian Healey, Sandra Ackoy or Suren Nair Phone: 08 9260 9800 or 1300 736 692 Email: ian.healey@wa.uca.org.au sandra.ackoy@wa.uca.org.au or suren.nair@wa.uca.org.au ADDITIONAL INFORMATION Leases for Residential properties cannot be for a term longer than two (2) years without prior agreement of the Presbytery Property Committee and the Resources Commission. Commercial lease terms are to be determined by the Property Services Unit in consultation with the congregation. For additional information regarding the GST implications for leasing property, you can either contact the Property Services Unit at Synod or access the website at unitingchurchwa.org.au/property-services/ Please note that the State Revenue Office charges Land Tax on all land except where that land is exempt. Church and charitable organisations are exempt from land tax. However, where a manse is leased to a tenant, the exemption granted no longer applies as the property is not being used by a charitable institution exclusively for charitable purposes. Therefore, please note that the congregation will need to set aside a portion of the rental income to contribute to the land tax that the church will be charged. Please note that for commercial properties only a single entity cost can be passed on to the Tenant. To calculate this please refer to http://www.finance.wa.gov.au. Our properties are aggregated across the state as such the calculator cannot be used to determine how much each congregations land tax charge will be. The Synod Centre distributes a Land Tax invoice after the State Revenue Office has sent the entire bill to us. November 2017 6 of 6