* Denotes that the field is mandatory.

Rates - Direct Debit request form

Request and Authority to debit the account named below to pay Randwick City Council, APCA ID 064996 ABN 77 362 844 121.

Ratepayer details

These details collected are to request and authorise Randwick City Council (APCA ID 064996) to arrange, through its own financial institution, a debit to your nominated account for any amount Randwick City Council as deemed payable by you.

Rates reference number *

Property address *

First name or ABN *

Last name or Company name *

Email address *

Contact number *

Second owner (if applicable)

Payment options

Annual: Amount to be deducted as per your Annual Notice, due on 31st August of each financial year.

Quarterly: Instalment amount to be deducted as per your Annual Notice.
1st Instalment: 31st August, 2nd Instalment: 30th November, 3rd Instalment: 28 February, 4th Instalment: 31st May

Monthly: Please provide amount to be debited on the first business day of each month.

Fortnightly: Please provide amount to be debited every fortnight.

Frequency of debit *

Have you selected a monthly/fortnightly frequency? *

Amount *

Bank account details

This debit or charge will be made through the Bulk Electronic Clearing System (BECS) from your account held at the financial institution you have nominated below and will be subject to the terms and conditions of the Direct Debit Request Service Agreement

Account holder name *

Financial institution name *

Financial institution address *

BSB Number (must be 6 numbers) *

Account number *