Request for Payment Plan

Maddocks Recoveries manages your overdue revenue, so you can get on with business

Download a PDF copy of the form

A service of Maddocks

Full Name: *

Property Address: *

Where rates are owing

Council Name: *

Assessment Number: *

To be paid: *

Reason for payment plan: *

Payment amount: *

Date of Payment: *

Contact Phone Number *

Email *

How would you like to receive a copy of your agreement? *