2020 - Application for Payment Plan

A Direct Debit Request Service Agreement is not sufficient to stop formal recovery action from commencing.

If you require help completing the application form or further assistance - please contact Council on 13 48 10.

Alternatively, please check the Townsville City Council website at townsville.qld.gov.au for information.

Date * +

Rates Property or Assessment Number (if known) 🛈

Property Address:

Street Address *

Suburb *

Postcode *

Preferred contact number *

Email address *

Property Owner/s *

Service address for further correspondence *

Reason for requesting payment plan *

0/500 words

Frequency of payment *

Weekly

Fortnightly

Monthly

Amount of each payment (in dollars and cents) *

Date first payment will be made * +

Total period of payment *

Please update my details in respect to this property to the phone number and service address as shown above. *

Yes

I/we *

hereby declare that the information I/we have provided is true and correct.

Privacy Collection Notice:
Townsville City Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which Council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with Local Government Act 2009 so that we can assess your application and update your details in relation to your account. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.