Breadcrumb Home Forms Application For Payment Plan – Rates & Charges Application for Payment Plan – Rates & Charges Current Property Details Contact Details Payment Info Application Complete 0% Property Details Assessment Number Property Street Address Town / Suburb State - Select - New South Wales Victoria Queensland Western Australia South Australia Tasmania Australian Capital Territory Northern Territory Post code Contact Details Company Name (if applicable) Name First Name Last Name Address Town / Suburb State - Select - New South Wales Victoria Queensland Western Australia South Australia Tasmania Australian Capital Territory Northern Territory Post code Email Phone Payment Info Balance Outstanding Payment Amount Date of first payment Payment Method BPAY Direct Debit Payment Plan Duration 12 Months 24 Months Payment Plan Frequency Weekly Fortnightly Monthly Click on the link and select the Direct Debit tab to complete the Debit Application Form. Application Terms & ConditionsAgreements will only be considered as approved once confirmed in writing by Mansfield Shire Council.Payments are to commence within one payment frequency cycle of the date of being made.Payments are to be made using Council’s accepted payment methods, Cash, Cheque, Bpay or via our website or by calling 1300 105 487.Direct Debit is available, simply complete the online application form.This agreement is only made in relation to the overdue amount as of the date of the agreement confirmation and specified in the agreement details.This agreement will be cancelled if two (2) consecutive scheduled payments are missed, or the agreement is in arrears.Council will communicate with you by post, email, or SMS.Council may refer this agreement to a third party to monitor payments and correspond with the applicant.Any changes to ownership or occupancy of the property will end this agreement.Council reserves the right to review the terms of the agreement at any time. Any changes to this agreement will be communicated with the applicant no less than seven (7) days before being made.Council may apply any other terms or conditions to the agreement by noting these in an acceptance letter sent to the application.If a ratepayer has failed to pay multiple debts or has previously not been able to comply with a payment plan, Council may reject an application. Name of signatory If signing for a company, capacity for signing Signature Draw singature below Upload photo of signature Signature Draw Sign above Signature Upload One file only.10 MB limit.Allowed types: gif jpg jpeg png. By submitting this Application for Payment Plan, you acknowledge having read and understood the terms and conditions governing the agreement between you and Mansfield Shire Council. I Acknowledge