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direct debit
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RATES – Direct Debit Request
1. Applicant details
Property no. New application Amendment of bank details/ Amount *
Registered owners
Property location
Postal address (if different to property location)
Suburb State Postcode
Contact name
Phone A/H phone Mobile
Email address
2. Payment frequency
st th
Due date Weekly Fortnightly Monthly – date between 1 & 28
If payment frequency other than Due Date, please specify amount. $ Date commencing
Comments
*If amending amount only, bank details are not required
3. Financial information
Name and Branch of
Financial Institution at NAME OF FINANCIAL INSTITUTION: _
which your account is held
BRANCH NAME: _
Name of Customer/s giving the DDR
Customer’s Authority I/We
ABN/ARBN (if applicable)
authorise and request the debit User (Noosa Shire Council – User ID 405075) until further notice to debit my/our account through the Bulk
Electronic Clearing System (BECS) from my/our account at the Financial Institution identified below as instructed by me/us or any other
amounts as instructed or authorised to be debited in accordance with the terms and conditions of the Direct Debit Request Service Agreement
(DDRSA) as amended from time to time.
ACCOUNT NAME ( please insert your name in full ) BSB number Account Number
-
CREDIT CARDS ARE NOT ACCEPTED FOR DIRECT DEBIT REQUESTS
If joint account all signatures may be required.
Signature Signature
Date Date
* NOTE: Direct Debiting through BECS is not available on all accounts. Check with your Financial Institution before completing DDR
By signing this form I/we acknowledge that this Direct Debit arrangement is governed by the terms of Authorisation of the DDRSA
attached to this request.
OFFICE USE ONLY - Notate prop Change notice code Create DD Confirmation letter Details Entered:
Privacy
Noosa Shire Council will only use the personal information collected for the intended purpose, to remain in contact with you regarding your request and the
legitimate functions and services of Council affecting your property. Council is authorised to collect this information in accordance with the Local Government
Act 2009 and associated laws. Access to your personal information will only be provided to appropriate Council employees and authorised officers. Your
personal information will only be disclosed to third parties with your consent, or if required to do so by law. Your personal information is handled in accordance
with Council’s Privacy Policy.
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
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Section 2
Direct Debit Request Service Agreement (DDRSA)
Ensure all sections of the application form have been fully completed.
Any missing information will result in delays in implementation of this Direct Debit agreement.
Please allow a period of 7 days for processing the application.
Payment Frequency – Amounts will be deducted from your nominated accounts at the times you nominate.
(see below)
DUE DATE – The net total payable shown on your rate notice (including any supplementary notices) on the date for
payment of your rates for the nominated property.
WEEKLY/FORTNIGHTLY – Commencing on the date specified then on the same day each week/fortnight. If
scheduled deduction day falls on a Public Holiday then payment will be processed on the next business working day.
st th
MONTHLY – Commencing on the date specified then on the same date each month (between 1 & 28 of the month).
If the scheduled deduction day falls on a week-end or Public Holiday then payment will be processed on the next
business working day. If you are unsure as to when the debit payment will be processed (after a public holiday) please
enquire with your Financial Institution.
Please note the following Important Information:
• By signing a Direct debit Request you have authorised us to arrange for funds to be debited from your account. You should
refer to the Direct Debit Request and this agreement for the terms of the arrangement between us and you.
• It is the responsibility of the ratepayer to have sufficient clear funds available in the relevant account, by the scheduled
deduction due date, to allow the payment of Debit Items according to the relevant DDR.
• To cancel or defer a payment (e.g. stop scheduled payment, amend deduction amount, cancel arrangement) to your DDR
please notify Council in writing or send an email to [email protected]. A minimum of 72 hours notice is required for
any of these requests.
• Stops and cancellations can also be directed to your financial institution.
• If you sell your property you should advise Council immediately (via phone, email or letter) once a contract is signed to
terminate this arrangement. If another property is purchased a new DDR must be completed for that property.
• A new DDR is required to be completed for any changes to customers Bank Account details.
• A Council Rate Notice will be issued to the customer every 6 months advising the rates balance.
• Individual receipts will not be issued for payments made via Direct Debit.
• If a payment dishonours any funds and/or discount applied to the rate account will be reversed.
• Discount does not apply if the net amount shown on the rate notice is not paid by the due date.
• Council will provide 14 days’ notice to the customer if there is any variation to any of the debit arrangements.
• If there is any dispute in regards to a Direct Debit payment that has been processed please place request in writing to
Council. Request can be either emailed to [email protected] or by letter to Noosa Council, PO Box 141, Tewantin,
QLD 4565.
Allow 14 days for any amendments to take effect or to respond to a dispute
If our investigations show that your account has been incorrectly debited, we will arrange for the Financial
Institution to adjust your account accordingly. We will also notify you in writing of the amount by which your
account has been adjusted. If, following our investigations, we believe on reasonable grounds that your account
has been correctly debited, we will respond to your query by providing you with reasons and copies of any
evidence for this finding.
If we cannot resolve the matter you can still refer it to your Financial Institution, which will obtain details from you
of the disputed payment and may lodge a claim on your behalf.
• For returned unpaid transactions, the following procedures or policies will apply:
We treat the payment as if it was never made
Services may be suspended until the outstanding charges are paid; and/or
A fee may be applied for drawings that are returned unpaid. We reserve the right to cancel the Direct Debit
Request if 3 payment defaults occur. The arrangement will be cancelled and further recovery action for
outstanding debts may be taken by the Debit User.
• Council’s privacy policy is detailed at the bottom of first page, however please note that the bank may require such
information to be provided in the event of a claim or relating to an alleged incorrect or wrongful debit.
Need Assistance with the form?
You should check: With your financial institution whether Direct debit, through BECS, is available from your account.
Your account details which you have provided to us are correct by checking them against a recent
account statement.
If you need help completing the form please contact Council by telephoning (07) 5329 6500.
How to lodge a Direct Debit Request form
Once you have completed the form either email it to [email protected], lodge it at our office located at 9 Pelican
Street, Tewantin, or post it to Noosa Council at PO Box 141, Tewantin, Qld 4565.
If you wish to notify us in writing about anything to this agreement you should write to Noosa Council
at PO Box 141, Tewantin, Qld 4565.
We may send notices either electronically to your email address or by ordinary post to the address you have given us.
Any notice will be deemed to have been received on the third banking day after emailing or posting.