Levy Payment – Financial Hardship This form is used by an Owner in times of financial hardship, to request of the Committee the waiving of penalty interest, reinstating a levy discount, payment plans or the waiving of levy recovery costs Body Corporate (building) name:* C.T.S: Lot Owner/s DetailsLot Owner's Full Name* Registered Lot Address:* Street Address City State / Province / Region ZIP / Postal Code Phone*Please notify me of the outcome of the Committee's decision by:* Email Post Email* Lot Address is same as Mailing Address* Yes No Mailing Address:* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country RequestPlease tick all options applicable to your request below:Option 1 Waive Accrued Penalty Interest (if applicable) Amount:*Reason:*Option 2 Apply Lost Discount Your Body Corporate may offer discounts on early/on-time payments of levies. Not all Bodies Corporate may offer this. To see if you are eligible for discounts, check your Due Notice of Contributions. This option is for those whose Body Corporate has a discount in place and are looking to have it reinstated if it was lost due to late payment of leviesAmount:*Reason:*Option 3 Waive Levy Recovery Costs (i.e. Arrears, Final notice fees) Amount:*Reason:*Option 4 Payment Plan Amount:*Reason:*Repayments:* Weekly Fortnightly Monthly Repayment Amount per frequency:*Payment Plan Commencement Date:* DD slash MM slash YYYY Final Payment Due Date:* DD slash MM slash YYYY Option 5 Payment Extension (excluding future levy periods): Amount:*Reason:*Extension Date Requested:* DD slash MM slash YYYY CONDITIONSI/We acknowledge and understand that by submitting this request my Body Corporate Committee will be contacted to consider my request and that a Levy Arrears Adjustment/Payment Reversal charge in the amount of $16.50 inc GST and/or Penalty Waive Request charge in the amount of $22.00 inc GST will be applied to my Lot. I/We acknowledge and understand that the following charges are levy recovery costs and if the Body Corporate Committee approves for these costs to be waived from my Lot my Body Corporate (made up of all unit owners) will still be liable to pay these costs as noted below (if applicable): • Charge for arrears notice—$22.00 inc GST • Charge for final notice—$66.00 inc GST • Final Notice Phone Call—$11.00 inc GST • Letter of Demand—$154.00 inc GST I/We acknowledge and understand that if my Committee approves my Payment Plan, a Payment Plan Management charge of $66.00 inc GST will be applied to my Lot for Hartley’s Body Corporate Management to monitor my repayments during the course of my payment plan, and to notify the Committee if I default on my repayments. All charges above-mentioned in the Conditions are in accordance with the added fees outlined in the Management Agreement with Hartley’s Body Corporate Management. I/we acknowledge and understand that for the duration a debt is owed to the Body Corporate I/we will be ineligible to vote at General Meetings and / or nominate for a position on the Committee. Declaration* I/We have read the above conditions and fully understand these conditions and by checking this box agree to these conditions Any issues? Get in touch. Contact us