City of Prospect Direct Debit Request Form A By signing this document, I/We authorise City of Prospect to arrange for funds to be debited from my/our nominated account at the financial institution shown above according to the schedule specified above, through the Direct Debit System for the payment of council rates. Signed: Print name: Signed: Print name: Direct Debit Request Service Agreement The following is your Direct Debit Service Agreement with City of Prospect ABN 58 758 236 361. The agreement is designed to explain what your obligations are when undertaking a Direct Debit arrangement with us. It also details what our obligations are to you as your Direct Debit Provider. We recommend you keep this agreement in a safe place for future reference. It forms part of the terms and conditions of your Direct Debit Request (DDR) and should be read in conjunction with your DDR form. Definitions: account means the account held at your financial institution from which we are authorised to arrange for funds to be debited. agreement means this Direct Debit Request Service Agreement between you and us. banking day means a day other than a Saturday or a Sunday or a public holiday listed throughout Australia. debit day means the day that payment by you to us is due. debit payment means a particular transaction where a debit is made. direct debit request means the Direct Debit Request between us and you. us or we means City of Prospect (the Debit User) you have authorised by requesting a Direct Debit Request. you means the customer who has signed or authorised by other means the Direct Debit Request. your financial institution means the financial institution nominated by you on the DDR at which the account is maintained. 1. Debiting your account 1.1 By signing a Direct Debit Request or by providing us with a valid instruction, 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. 1.2 We will only arrange for funds to be debited from your account as authorised in the Direct Debit Request. 1.3 If the debit day falls on a day that is not a banking day, we may direct your financial institution to debit your account on the following banking day. If you are unsure about which day your account has or will be debited you should ask your financial institution. 2. Amendments by us 3. Amendments by you 4. Your obligations 2.1 We may vary any details of this agreement or a Direct Debit Request at any time by giving you at least 14 days written notice. 2.2 We reserve the right to cancel the agreement if three or more debit payments are returned unpaid by your financial institution. Written notice will be given as per 2.1. 3.1 You may change, stop or defer a debit payment, or terminate this agreement by providing us with at least 14 days notification by writing to: City of Prospect, PO Box 171, Prospect SA 5082 or [email protected] 4.1 It is your responsibility to ensure that there are sufficient clear funds available in your account to allow a debit payment to be made in accordance with the Direct Debit Request. 4.2 If there are insufficient clear funds in your account to meet a debit payment: (a) you may be charged a fee and/or interest by your financial institution; (b) you may also incur fees or charges imposed or incurred by us; and (c) you must arrange for the debit payment to be made by another method or arrange for sufficient clear funds to be in your account by an agreed time so that we can process the debit payment. 4.3 You should check your account statement to verify that the amounts debited from your account are correct 4.4 You should contact us at the beginning of a new Financial Year (once Annual Notice has been received) to discuss any necessary amendments to the agreement to meet instalment due dates 5. Dispute 5.1 If you believe there has been an error in debiting your account, you should notify us directly on 08 8269 5355 and confirm that notice in writing with us as soon as possible so that we can resolve your query quickly. 5.2 If we conclude as a result of our investigations that your account has been incorrectly debited we will respond to your query by arranging for your financial institution to adjust your account (including interest & charges) accordingly. We will also notify you in writing of the amount by which your account has been adjusted. 5.3 If we conclude as a result of our investigations that your account has not been incorrectly debited we will respond to your query by providing you with reasons and any evidence for this finding in writing. 6. Accounts You should check: (a) with your financial institution whether direct debiting is available from your account as direct debiting is not available on all accounts offered by financial institutions. (b) your account details which you have provided to us are correct by checking them against a recent account statement; and (c) with your financial institution before completing the Direct Debit Request if you have any queries about how to complete the Direct Debit Request. 7. Confidentiality 7.1 We will keep any information (including your account details) in your Direct Debit Request confidential. We will make reasonable efforts to keep any such information that we have about you secure and to ensure that any of our employees or agents who have access to information about you do not make any unauthorised use, modification, reproduction or disclosure of that information. 7.2 We will only disclose information that we have about you: (a) to the extent specifically required by law; or (b) for the purposes of this agreement (including disclosing information in connection with any query or claim). 8. Notice 8.1 If you wish to notify us in writing about anything relating to this agreement, you should write to: City of Prospect, PO Box 171, Prospect SA 5082 or [email protected] 8.2 We will notify you by sending a notice in the ordinary post to the address you have given us in the Direct Debit Request. 8.3 Any notice will be deemed to have been received on the third banking day after posting.
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