Extension of Time/Payment Plan for Land Clearance Invoice

PRIVACY NOTE: The personal information requested in this form is being collected by Council for payment assessment for an Invoice. The personal information will be used solely by Council for that primary purpose or directly related purposes. The applicant understands that the personal information provided is for payment assessment for an Invoice and they may apply to Council for access to and/or amendment of the information.

View Council's Privacy Policy.

Invoice Details

Invoice Number(s): LLLC (required)

Invoice Amounts $ (required)

Property Address: (required)

Applicant's Details (The applicant must be the owner listed on the invoice)

Given Name (required)

Family/Surname (required)

Preferred Contact Number Type (required)

Home

Work

Mobile

Preferred Contact Number(required)

Email Address (required)

Address

Street No and Street (required)

Suburb (required)

Postcode (required)

Payment Options

Payment Options (Select One) (required)

Extention of Time (An extended period in which to pay the Land Clearance invoice in full)

Instalment Payment Plan (Part payment made over a 6 month period)

Additional time requested to pay invoice (required)

1 month

2 months

3 months

Acknowledgement of Traditional Custodians

Wyndham City Council recognises Aboriginal and Torres Strait Islander peoples as the first Peoples of Australia. We acknowledge the Bunurong and Wadawurrung Peoples as Traditional Owners of the lands on which Wyndham City operates. The Wadawurrung and Bunurong Peoples have and always will belong to the Werribee Yalook (river), creeks, stars, hills and red clay of this Country. We pay respect to their Ancestors and Elders who always have, and always will, care for Country and community today and for future generations.