Request for Rates Refund Form

Home Residents Rates & Valuations Request for Rates Refund Form

Request for Rates Refund Form

I want to

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Request for Rates Refund Form
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Request for Rates Refund Form

Applicant Details

Applicant name(Required)
Applicant postal address

Receipt and Payment Details

Property Address(Required)
DD slash MM slash YYYY
Please enter a number greater than or equal to 0.
Max. file size: 100 MB.
Further information may be required to verify some payments

Bank Account Details

Payee Authorisation Details

I, (print name)
Signatory name
for the overpaid rates and/or change on my account as provided on this form. Please make the payment into my nominated bank account, the details of which have been provided above.
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