ALL SECTIONS MUST BE COMPLETEDPayment Arrangement Agreement • March 29th, 2018
Contract Type FiledMarch 29th, 2018Declaration I agree to pay a minimum of $ Weekly Fortnightly Monthly until the outstanding amount is paid in full, commencing from (date). I understand the following conditions apply:• This agreement is for the total amount now due as shown above and will not apply to any future rates and charges.• Interest currently at the rate of 10% per annum will continue to be charged on the reducing balance, until paid in full.• If for any reason I am unable to pay the amount as promised, I am to contact the Revenue Department immediately on 5775 8555.• If I fail to do so, I may be subject to legal action for recovery of the debt without further notice and a further agreementmay be refused. Applicant Name (print) Applicant Signature Postal Address Home Phone Mobile Email Date