Payment Plan Request Form

Building Details

The Body Corporate for [Building / Scheme Name]*

Address*

State*

Postcode*

Lot Number / Unit Number*

Applicant Details

First Name*

Last Name*

Email*

Phone Number*

Status*

Committee Member
Owner

Application Details

Total Amount Outstanding*

Proposed Date of First Instalment*

Proposed Frequency of Payments

Weekly
Fortnightly
Monthly

Proposed Instalment Amounts*

Reason for Requesting*

I agree that all future levies will be paid on or prior to the due date and that this payment plan is for current arrears only*

Yes
No

I acknowledge that there will be a $56.90 inclusive of GST processing fee upon approval of this application for work involved in the application and monitoring of repayment plans.*

Yes
No

I acknowledge that if the repayment plan terms are breached the Body Corporate Committee may consider legal proceedings to recover the debt.*

Yes
No

I acknowledge that should my Body Corporate offer a Discount, it will be forfeited whilst my account remains in arrears.

Yes
No