Reminder arrangement request

Required hidden information

Record Type

ContactId

RecordId

Customer details

Council Tax account no

Full name

Name(s) on account

Address (including postcode)

Contact number

Additional instalments

Do you want to spread your payments over 12 payments each year? Your balance will still need to be cleared by the 31 March each year.

YesNo

Change payment date

Do you want to change the payment date of your monthly instalments?

Yes

Please select which date you would prefer

Your arrangement offer

Do you want to change the frequency of your payments?

YesNo

How often do you want to pay

Fortnightly

Monthly

Weekly

Do you want to pay by direct debit

Yes

When you submit this form you will be presented with the link to set up your direct debit. This will be calculated to clear your liability by the following 31 March.

How much do you want to pay

When will you be making your first payment?

Additional details

Is there anything else you want the council to know about your financial circumstances which may effect your ability to pay?

Payment within 7 days

Have you made a payment or are you intending to make a payment in the next 7 days?

Yes

How much

When did you/ will you make the payment

You will be contacted by the issue of a revised bill, letter or email to confirm acceptance of your arrangement within the next 28 days. If you are due to make a payment before the Council has contacted you please make the payment you have offered.

If you fail to make payment as agreed the council will issue a summons which will incur costs of up to £100.00.

If you have problems making payments please contact the council as soon as possible to discuss your account.

Declaration

I have filled in this form and declare that the information given within it is true and complete to the best of my knowledge

Full name

Date

We will use the information you give in this form and any supporting evidence you send us, to process applications for Second Adult Rebate claim/change of circumstances, Council Tax Reduction or to determine Council Tax Liability. We may pass the information to other agencies or organisations such as the Department for Work and Pensions, the Jobcentre Plus and HM Revenue and Customs, as allowed by the law. By law, we may check the information you have provided, or information provided bout you by someone else, against other information we already have. We may also ask other agencies, organisations, local authorities or government departments to give us information we have about you. This is to make sure the information is accurate, prevent or detect crime and protect public funds.

These third parties include government departments, local authorities and private-sector companies such as banks and organisations that may lend you money. We will not give information about you to anyone else, or use information about you for other purposes unless the law allows us to. Folkestone & Hythe District Council is the data controller for the purposes of the Data Protection Act 1998.