Rates Payment Plan Form

Agreement By (Your name) *

You are the ratepayer/occupier/owner.

Postal Address *

Daytime/Mobile Phone Number *

Evening Phone Number

Email Address

Customer Reference Number *

This can be found on your rates notice.

Property Address *

I wish to make arrangements to pay my rates account by regular payments for the above property address. I understand that this payment plan will only take effect upon receipt of the first payment.

Payments would be for this amount: *

Enter payment amount in dollars.

Payments can be made: *

Select one.

weekly fortnightly monthly

Payments will be commencing on: *

Enter commencement date for your payments.

Payments will be made by: *

Select one.

cheque BPAY at the Council office at Australia Post Centrepay deduction

I acknowledge that the payment/s must be paid on or before the due dates. I am aware that interest will accrue at a rate of 10 per cent per annum on all overdue amounts, and that I agree to pay any legal costs as incurred by the council in relation to court proceedings commenced as a result of my failure to adhere to this agreement. *

I agree

Spam prevention test *

We get a lot of automated junk mail (spam), so we require you to pass this quick test before submitting.