Rates - Payment Arrangement Form Save Your ProgressYou have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address. Email Address: Password: There is no way to resend or recover your password, please write it down. Note: Incomplete forms are kept for a period of 2 day(s), after this time the system will automatically delete your response. Full Name*This field is required. Organisation Address*This field is required. Postal Address*This field is required. Same as above - check this button is postal address is same as above Postal Address - add here if not the same as address above Contact phone number*This field is required. Email*This field is required. Property Detail - Add Assessment Number Here*This field is required. Proposed Payment Plan - complete the details below Complete the payment plan detail below. Outstanding Amount - to be included in this box, if known Payments to be made*This field is required. WeeklyFortnightlyMonthly Amount to be paid*This field is required. Other - I would like to make other arrangements to make the payments Commencement Date*This field is required. Conditions By submitting this form you are agreeing to the conditions below: You will need to contact the Town prior to your last payment due to confirm the final amount owing on your rates account. It is the responsibility of the ratepayer to ensure that the agreed payment amounts are paid on or before the agreed due date. Reminder notices will not be issued. The Town of East Fremantle requires full payment of the outstanding rates by the end of the financial year if you require an extension on this timeframe, please contact the Rates Department at the Town of East Fremantle. Should you default on the payment arrangement, a Final Notice with the outstanding balance of your rates will be forwarded to you, requesting payment within 14 days. Failure to do so may result in the commencement of debt recovery to recover the outstanding amount owing. Any costs associated with debt recovery, will result in additional costs. This will increase the above rates account due for payment. Payments can be made using BPAY through your bank or financial institution. The biller code for the Town of East Fremantle is 889220 and your BPAY Reference Number is your payment account number on your rates notice. Note: Once this form has been submitted, confirmation of the payment arrangement will be provided to you in writing. Type the code from the image: Get Audio CodeType the code from the image Save & Exit