Direct Debit Cancellation Form

Full Name(Required)

Please enter the names of all owners

Postal Address(Required)

Street Address Address Line 2 Suburb State Post Code

Phone

I hereby authorise Sorell Council to cease direct debit payments for Council Rates on the above properties from my bank account.

Date Effective(Required)

Properties you require this Direct Debit cancellation for(Required)

Property ID

Signature(Required)

Date(Required)

Next topic: Direct Debit Request Form

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