Direct Debit Request Form (DDR)

L O G A N C I T Y C O U N C I L A D M I N IS T R A T I O N C E N T R E , 1 5 0 W E M B LE Y R O A D , L O G A N C E N T R A L, Q LD 4 1 1 4
Direct Debit Request Form (DDR)
Logan City Council is collecting your personal, property and financial details in order to process
your authorised arrangement for funds to be debited from your nominated bank account. The
information will only be accessed by employees of Logan City Council for Council related business
activities only. Some of this information may be given to the relevant financial institution for the
purpose of this process. Your information will not be given to any other person or agency unless
you have given us permission or we are required by law.
Section 1 - Applicant Details
Organisational
Services
File No:
I/We authorise and request you, Logan City Council, user ID 009760, until further
notice in writing, to arrange for funds to be debited through the Bulk Electronic
Clearing System (BECS) from my/our Cheque or Savings account at the financial
institution shown 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
Service Agreement (DDRSA) as amended from time to time.
Council use Only
Prior failures
Y/N
Memo
Y/ N
Quarterly:
Direct Debit input
Notice Group DN
Applicant/s:
Mailing Address:
Business Hours
Contact Number:
Postcode:
Section 2 – Property Details
Scheduled:
Direct Debit input
Notice Group: Z
or exisiting
BPAYVIEW
Confirmation Letter
Issued
Assessment No:
Actioning Officer:
Property Owner/s:
-------------------/---/--Checking Officer:
Property Address:
-------------------/---/---
Section 3 - Financial Details - If debiting from a joint bank account, both
signatures are required.
Name of
Account Holder(s):
RETURN FORM TO:
ORGANISATIONAL SERVICES
Name of Australian
Financial Institution:
LOGAN CITY COUNCIL
PO BOX 3226,
LOGAN CITY DC QLD 4114
Branch of Financial
Institution:
FOR ENQUIRIES
TEL:
-
BSB No:
Account No:
Signature:
Signature:
Date:
Date:
Direct Debit Request Form# 6837100 v3
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07) 3412 5230
07) 3412 3412
E-MAIL
[email protected]
Direct Debit Drawing Arrangement
Section 4 – Drawing Arrangement
I/We request that you debit my/our account in accordance with one of the following
periodic provisions:
Amount to be debited:
First drawing date:
Frequency of debit:
$
(Minimum $ 40.00)
/
/
(THURSDAY)
(Allow 5 working days prior to
the next scheduled drawing date)
Weekly
Thursday
Fortnightly
Thursday
Monthly
3rd Thursday of the Month
OR
Debited once per rating
quarter on due date:
Amount due debited.
Quarterly
IM P O R TA N T NO T E S
•
Arrears of Rates - It should be noted that the weekly, fortnightly and monthly payment
option does not constitute a payment agreement. Please contact Rates Recoveries on
(07) 3412 5959.
•
It is your responsibility to ensure that weekly, fortnightly and monthly amounts and or
frequency are sufficient to ensure discount is granted on the due date. Additional
payment/s using another payment method may be required if the nominated debit amount
and/or frequency does not satisfy the amount due on or before the due date.
•
Direct Debit Payments made after the 'Rate Notice data is processed as at' date
printed on the rate notice are not included in calculating the amount due.
•
Discount will not be granted if insufficient funds are received by Council on discount
date.
•
Two (2) requests to change this drawing arrangement are permitted in a 12 month
period. Council, at its discretion, reserves the right to terminate this facility if more
changes are requested.
•
If your drawing is returned unsatisfied by your financial institution on two (2)
occasions, Council will cancel the arrangement and you will be unable to use direct
debit as a payment method in the future.
•
In accordance with Councils' Regulatory Fees you will be notified of this action in
writing and may subsequently be issued with a Tax Invoice (Administration Fee) for
each failed attempted direct debit transaction. This fee is currently $59.00 for the
2015/2016 financial year.
Direct Debit Request Form# 6837100
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Customer Service Agreement
Section 5 – Our Commitment to You
This document outlines our service commitment to you, in respect of the Direct Debit
Request (DDR) arrangements made between Logan City Council user ID 009760 and you.
It sets out your rights, our commitment to you and your responsibilities to us together with
where you should go for assistance.
I NI T IA L T E R MS O F T HE A RR A N GE ME N T
In terms of the Direct Debit Request arrangements made between us and signed by you,
we undertake to periodically debit your nominated account for the agreed amount for
payment of Rates and/or Charges due to Council.
DRA W I NG A R RA NG E ME N TS
•
The first drawing under this Direct Debit arrangement will occur on a nominated day.
•
If any drawing falls due on a non-business day, it will be debited to your account on
the next business day following the scheduled drawing date.
•
We will give you at least 14 days notice in writing when changes to the initial terms of
the arrangement are made. This notice will state changes to the initial terms.
•
If you wish to discuss any changes to the initial terms you may contact Council by the
following means
-
-
by mail -
The Chief Executive Officer
Logan City Council
PO Box 3226
LOGAN CITY DC QLD 4114
by phone – Council’s Finance Branch on (07) 3412 4958
by e-mail – [email protected]
Section 6 - Your Commitment to Us
You should be aware that:
a) Direct debiting through the Bulk Electronic Clearing System (BECS) is
not available on all accounts; and
b) You should check your Account details (including your Bank State
Branch (BSB) number) directly against a recent statement from your
Financial Institution.
It is your responsibility to ensure that:
•
your nominated account can accept direct debits (your financial institution can
confirm this); and
•
on the drawing date there are sufficient cleared funds in the nominated account;
and
•
you advise us if the nominated account is transferred or closed; and
•
you advise us if you have sold the property to ensure that a scheduled direct debit
payment/s do not:
a) invalidate rate adjustments calculated by your solicitor for settlement.
b) continue after the date of settlement of the property.
Direct Debit Request Form# 6837100
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you reconcile your rate notice and where future scheduled direct debit
payments do not satisfy the amount due on or before the due date, that you
provide sufficient additional payment using another payment method to ensure
that discount is granted.
•
If your drawing is returned unsatisfied by your financial institution, the amount will be
reinstated to your rate assessment with any discount applicable being forfeited.
In accordance with Councils' Regulatory Fees you will be notified of this action in
writing and may subsequently be issued with a Tax Invoice (Administration Fee) for
each failed attempted direct debit transaction. This fee is currently $59.00 for the
2015/2016 financial year.
Section 7 – Your Rights
CHA N GE S TO T HE A RRA N GE ME N T
Two (2) requests to change this drawing arrangement are permitted in a 12 month period.
Council, at its discretion, reserves the right to terminate this facility if more changes are
requested.
If you wish to make changes to the drawing arrangements you are required to advise
Council in writing at least 5 working days prior to the next scheduled drawing date. These
changes may include:
-
deferring the drawing; or
stopping an individual debit; or
suspending the DDR; or
cancelling the DDR completely.
If you wish to change your bank account details you will be required to complete a new
DDR (Direct Debit Request Form).
E N QU IR IE S
Direct all enquiries to us, rather than to your financial institution, and these should be
made at least 5 working days prior to the next scheduled drawing date. All
communication addressed to us should include your Rate Assessment Number.
All personal customer information held by us will be kept confidential except that
information provided to our financial institution to initiate the drawing from your
nominated account.
D IS P U TE S
If you believe that a drawing has been initiated incorrectly, we encourage you to take the
matter up directly with us by calling Council’s Finance Branch on (07) 3412 4958.
If you do not receive a satisfactory response from us to your dispute, contact your financial
institution who will respond to you with an answer to your claim:
-
Note:
within 7 business days (for claims lodged within 12 months of the disputed
drawing) or
within 30 business days (for claims lodged more than 12 months after the
disputed drawing)
Your financial institution will ask you to contact us to resolve your disputed drawing prior
to involving them.
Direct Debit Request Form# 6837100
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