Request a payment extension form

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To continue, please enter your current details before entering your account number and bill details. This ensures any information you enter is matched to your account.

Email *

Account Name *

Date of birth *

Company name (if applicable)

Phone Number *

Property address *

Date that you anticipate you can make payment *

YYYY

Amount you'll be paying *

If you are not paying the full amount on the extended due day, you may be subject to the penalty. if not paying any amount who committed, we will engage with the law enforcement department and upload the SACAT/Court order.

Full amount of total due

Half amount of total due

Other:

What is the reason due to payment *

Financial hardship

Forget the payment date

Family issue

Domestic Violence

Other:

Terms and conditions *

I/We acknowledge the following:

It is at the landlord discretion to approve a payment extension.

Nothing in these terms and conditions affect any other legal rights that you have

You may be charged a late fee of $20 and a small amount of interest will be charged to your next bill every day there is an outstanding amount after the due date.

If the full outstanding amount is not paid by the new extension period date,you may be subject to the penalty. if not paying any amount who committed, we will engage with the law enforcement department and upload the SACAT/Court order.

Axiom Realty may store personal information in paper and electronic formats. Axiom Realty takes all reasonable steps to ensure the security of all customer data. Personal information is maintained in a secure environment accessed only by authorised personnel. However, any data sent over the internet or store on internet servers cannot be guaranteed to be fully secure. These activities are undertaken at your risk.

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A copy of your responses will be emailed to the address you provided.

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