Rates Direct Debit Request

I/we request you, Hornsby Shire Council, User ID number 185532, to arrange for my/our rates to be debited from my/our nominated account at the financial institution shown below according to the schedule specified below, until further notice in writing.

Details of the property for which rates are to be direct debited: (details can be found on the rate notice)
Details of the person who is going to have their bank account debited
Details of the account to be debited. (Note: Direct debiting is not available from any credit card)
Payment Schedule Preference

To commence from 31st August. 

Council will calculate your payment amount as per your preferred frequency and start date to ensure your rates are paid by the end of the financial year. The Direct Debit payments are automatically adjusted each financial year to accommodate any changes in the value of your rates charges. Council will contact you if any adjustments are required.

Scheduled Direct Debits will only be processed on Fridays. 

Declaration
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You will still receive your Annual Rate Notice every year. If you elect to pay by instalment quarterly, a notice will be issued showing the amount being deducted.

Please return the Direct Debit Request Form at least 2 weeks prior to the due date.

Upon submitting, you will be emailed a copy of this form, please keep a copy for your records.