Your details Assessment Number Property Address First Name Last Name Email Address Contact Number Phone Bank Details Financial Institution Account Name BSB Account Number Payment Schedule Frequency Weekly (Every Thursday) Fortnightly (Every Alternate Thursday) Monthly (On the last Business day of each month) Instalments (On the due date of each instalment being 30 Sept, 30 Nov & 28 Feb) Yearly (On the due date for each year being 30 September) Amount Date of First Payment Authorization I authorize Litchfield Council to debit my account as specified above until I notify them in writing.I understand that:It is my responsibility to ensure my account can accept direct debits and has enough funds available.Any enquiries, changes, or cancellations should be directed to Litchfield Council. I have read and agree to the terms and conditions outlined in the Customer Service Direct Debit Request Service Agreement I acknowledge that submitting a direct debit request does not automatically create an approved repayment arrangement if I have an outstanding or overdue balance on my rates account. I remain responsible for any outstanding rates until they are fully paid.