Hardship Concession Application

                                                 Hardship Concession Application

5. Certification of applicant/s
Name/s of applicants:
Given Name/s                                                              Surname
Given Name/s                                                              Surname
Given Name/s                                                              Surname

I/we wish to apply for rates and charges relief based on financial hardship.
Relief requested (please select one).
▭ a 12-month (interest-free) payment plan which will see all overdue and upcoming rates paid within that
timeframe or
▭ a 2-year (interest-free) payment plan which will see all overdue and upcoming rates paid within that
timeframe.
 (Note: to apply for this type of relief your application must be supported by a statement from a certified financial
counsellor.)
Information on where to access a financial counsellor can be found on the Australian Government website
www.afsa.gov.au/i-cant-pay-my-debts/support-services/where-find-help-managing-debts.

Reason for hardship:
▭ Loss of employment of the landowner or family member, or other critical financial situation.
▭ Family breakdown.
▭ Physical and mental health issues, including illness, physical incapacity or hospitalisation of the landowner, or
landowner’s family member.
▭ A disaster within the Noosa Council Local Government Area directly affecting the landowner.
▭ A death in the family of the landowner; or
▭ Other factors resulting in unforeseen change in the landowner’s capacity to meet their payment obligations,
whether through a reduction in income or through an increase in non-discretionary expenditure.
Please attach any supporting documentation you consider relevant. If you are unsure as to what documentation
to attach, please contact Council to discuss the matter.
Please note – Upon request Council may require you to provide additional documentary evidence to support
your application.

Signature                                                                                      Date

Signature                                                                                      Date

Signature                                                                                      Date
Terms and conditions of the Rates and Charges Financial Hardship Policy
To be eligible for relief based on financial hardship:

      The applicant must be a sole or joint owner of the property.
      The property must be the landowner’s principal place of residence.
      The applicant must have legal responsibility for payment of the property’s rates and charges.
      The landowner must provide sufficient information to demonstrate that they will suffer hardship if
       required to pay rates and charges when due.
      The property is not let, partially or fully, for either short- or long-term rental to derive income.
      There is a demonstrated sound record of payment history for Council rates and charges.
      The balance or amount payable exceeds $1,000.


 NOOSA COUNCIL                    PO Box 141          P. (07) 5329 6500         [email protected]
 ABN 97 969 214 121               TEWANTIN QLD 4565   F. (07) 5329 6501         www.noosa.qld.gov.au