Application for Remission of Rates or Water Penalty

Application Details

*- indicates required field.

Applying for *

Rates penalty remission

Water penalty remission

Reason for application: (Please provide as much information as possible to assist us with this remission) *

Applicant

Full name *

Postal address *

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Preferred contact *

Landline

Mobile

Phone number (optional)

Mobile number (optional)

Email *

Property Details

Property ID* (as shown on the top right of your Rates invoice) *

Property address *

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Valuation assessment number (optional)

Declaration

I, undefined declare that the details I have provided are to be the best of my knowledge, true and correct and that all fees due to the Waipa District Council will be paid by the due date. *

Date *

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Application for Remission of Rates or Water Penalty

Application Details

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Application Details

Applicant

Property Details

Declaration