Sign and date the form
and return it to Council
3
t +64 6 835 7579
e info@napier.govt.nz
www.napier.govt.nz
EASY
PAY
Fill in your name and
your banking details
State how frequently you
would like to pay and the
date the fi rst payment is
to be made
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Napier City Council o ers you the
easy way to pay your accounts.
It’s as easy as 1, 2, 3!
Napier City Council
CONDITIONS OF THIS AUTHORITY
TO ACCEPT DIRECT DEBITS
1. The initiator (Napier City Council)
a. The initiator undertakes to give written
notice to the acceptor of the commencement
date, frequency and amount at least 10
calendar days before the fi rst direct debit
is drawn (but not more than 2 calendar
months).
b. In the event of any subsequent change to the
frequency or amount of the direct debits, the
Initiator has agreed to give written advance
notice at least 30 days before the change
comes into e ect.
Or
Has agreed to give written advance notice
to you for the amount of each direct debit
and the due date of the debiting at least 1O
calendar days before (but not more than 2
calendar months) the date when the direct
debit will be initiated.
c. May, upon the relationship which gave rise to
this authority being terminated, give notice
to the bank that no further direct debits are
to be initiated under the authority. Upon
receipt of such notice the bank will terminate
this authority as to future payments, by
notice in writing to me/us.
2. The customer may:
a. At any time, terminate this authority as to
future payment by giving written notice of
termination to the bank and to the Initiator.
b. Stop payment of any direct debit to be
initiated under this authority by the Initiator
by giving written notice to the bank prior to
the direct debit being paid by the bank.
3. The customer acknowledges that:
a. This authority will remain in full force
and e ect in respect of all direct debits
passed to my/our account in good faith
notwithstanding my/our death, bankruptcy
or other revocation of this authority until
actual notice of such event is received by the
bank.
b. In
any
event
this
authority is
subject to any
arrangement now
or thereafter existing
between me/us and
the bank in relation to my/
our account.
c. Any dispute as to the
correctness or validity of an amount
debited to my/our account shall not
be the concern of the Bank except in so
far as the direct debit has not been paid in
accordance with this authority. Any other
dispute lies between me/us and the Initiator.
d. The bank accepts no responsibility or liability
for the accuracy of information about direct
debits on bank statements.
e. The bank is not responsible for, or under any
liability in respect of :
any variations between notices given by the
Initiator and the amounts of direct
debits
the initiator's failure to give written advance
notice correctly nor to the non-receipt
or late receipt of notice by me/us for any
reason whatsoever. In any such situation the
dispute lies between me/us and the initiator.
4. The bank may :
a. In its absolute discretion conclusively
determine the order of priority payment by it
of any monies pursuant to this or any other
authority, cheque or draft properly executed
by me/us and given to or drawn on the Bank.
b. At any time terminate this authority as to
future payments by notice in writing to me/
us.
c. Charge its current fees for this service in
force from time to time.
I/We authorise you until further notice in writing to debit my/our bank account with all amounts covered by this direct debit authority
which Napier City Council, the registered initiator of the above Authorised Code, may initiate by Direct Debit.
I/We acknowledge and accept that the bank accepts this authority only upon the conditions listed on the reverse of this form.
AUTHORITY TO ACCEPT DIRECT DEBITS
(Not to operate as an assignment
or agreement)
0 3 0 2 1 3 1
APPROVED
0285
05 00
BANK STAMP
FOR BANK USE ONLY:
Original – Retain at Branch, Copy – Forward to initiator if requested
Date received: Recorded by: Checked by:
Bank Branch Number Account Number Suf x
WEEKLY
Tues/Thurs
FORTNIGHTLY
Tues/Thurs
MONTHLY
20th
BY INSTALMENT
Due Date
PAYMENT
OPTIONS
PAYMENT
START (Tues) (Thurs)
or MONTH (20th)
/ /20
BANK
BRANCH
NAME ON ACCOUNT - (Rates/Rent/Water)
CUSTOMER TO COMPLETE BANK, BRANCH, ACCOUNT NUMBER AND SUFFIX OF
ACCOUNT TO BE DEBITED
NAME ON BANK ACCOUNT
AUTHORISED BANK ACCOUNT SIGNATURE(S) (Name if dierent from bank account)
DATE / /20
Daytime phone :
INFORMATION TO APPEAR ON MY/OUR BANK STATEMENT - CUSTOMER TO COMPLETE
ecnerefeR reyaPedoC reyaPsralucitraP reyaP
(Insert either Rates, Debtors or Water) (Insert Rates Valuation No or Other
Account No) (Property Address)
Email :
When you have fi lled in the EASYPAY form
steps 1-3, simply return it to Napier City
Council Customer Services counter and
we will do the rest. Your accounts will be
paid directly to the Napier City Council at
the intervals you have selected on your
EASYPAY form.
Accounts
You can pay either weekly or fortnightly
on a Tuesday or Thursday, monthly on the
20th, (or next working day), or quarterly
on the instalment date. Property rates are
reviewed annually and changes will be
notifi ed in July each year.
Bank Charges
If this direct debit is replacing an existing
automatic payment you need to contact
your bank and arrange for this to be
cancelled.
If you need to change or cancel your
EASYPAY arrangement, please contact us
to manage this for you.
What is EASYPAY
the Easy Way?
Private Bag 6010, Napier 4142
www.napier.govt.nz
t
+64 6 835 7579
e info@napier.govt.nz
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