Direct Debit Arrangement

Please fill in your details below to pay your DebtManagers debt by direct debit.
Note: All fields are required.

CCID number

Your details

Given Name(s) or Company Name

Surname or ABN/ARBN

Postal Address

Street Address

Suburb

State

Post Code

Date of birth

Phone Number

Email address

Centrelink Customer Reference Number (CRN)

Employer Name and Address (if applicable)

I agree to the payment arrangement set out below with DebtManagers in respect of the debt(s) I owe to DebtManagers. This payment arrangement is instead of paying the full amount of the debt immediately.

I agree to execute a direct debit authority in favour of DebtManagers to allow them to debit my account directly. The details of the payment arrangement/authority are detailed below.

I can cancel this arrangement and the direct debit authority at any time for any reason by contacting my bank or DebtManagers.

I accept that there could be consequences of cancelling, including that I may need to immediately repay the debt or DebtManagers may without further notice bring legal proceedings against me for this / these debt(s).

Your Payment Details

Part A - Recurring Payment Arrangement

Recurring Payment Amount

Recurring Payments Start Date

Recurring Debit Frequency

Account Details

Name of Bank / Financial Institution

Name of Account Holder(s)

BSB Number (Must be 6 digits)

Bank account number (6-10 digits)

AUTHORISATION

By signing and/or providing us with a valid instruction in respect to your Direct Debit Request, you confirm you have understood and agreed to the terms and conditions governing the debit arrangements between you and DebtManagers Ledger Pty Ltd, User No: 643311. You also authorise us to debit your nominated bank account as set out in this request in accordance with the Direct Debit Request Service Agreement (that can be viewed at https://www.debtmanagers.com.au/direct-debit-terms-au/). The debit or charge will be made through the Bulk Electronic Clearing System (BECS) from your account held at the financial institution you have nominated above.

I/We also acknowledge that the debt owed by me/us to DebtManagers Ledger Pty Ltd remains outstanding at the date this document is executed.

Signature of Accountholder

(if signing for a Company, sign and print full name and capacity for signing eg. Director)

DebtManagers Ledger Pty Ltd will not charge any fees for this payment arrangement.

Declaration

I acknowledge full liability for the following debt as at the date of this document.

I agree to receiving electronic marketing materials and communications from DebtManagers, or their assignee, including emails and text messages.

I agree that the amount of each repayment can be increased annually on or about 1 June by the sum of $1.00 per repayment. The new amount will apply from July to June, and then each amount may be increased again each year until my debts are repaid.

DebtManagers will cancel my payments when all of my debts have been repaid.

I consent to receiving ongoing information in relation to my debts (information required to be provided to me under the National Credit Code including my balances and repayments) through the DebtManagers website (debtmanagers.com.au) or through a request by email or phone.

If I owe DebtManagers any other debt now or later (for example, other debt owed by me is assigned by the original lender to DebtManagers, I agree that this repayment arrangement also applies to that other debt and authorise DebtManagers to continue to debit my account with the repayment amounts until all debts to DebtManagers are repaid. DebtManagers will notify me of the new number of payments needed to repay my debts. I agree that DebtManagers may split each repayment and apply it to each of my debts. DebtManagers will advise me before it does this. I can tell DebtManagers how I would like the repayments split.

I understand that I will not receive regular statements by post or email.

I authorise DebtManagers to reduce some or all repayment amounts or to change the day of my payments if my payments are being dishonoured. I also authorise DebtManagers to change the day of payment if public holidays are likely to interfere with my ability to pay.

In the event that legal proceedings are commenced, I consent to deductions not exceeding the pre-agreed repayment amount, to be deducted from my Centrelink assistance within the scope of this agreement.

Email / Postal Address for Service

I agree that any communications, notices, statements of accounts, disclosures (including any required under the National Credit Code) and service (including the service of any document relating to legal proceedings) in connection with:

(a) This payment arrangement;
(b) Any other payment arrangement, loan, or other debt owed to the DebtManagers (whether by assignment or otherwise), whether entered into before or after this payment arrangement; and
(c) Any other payment arrangement, loan, or other debt that the DebtManagers may be collecting on behalf of a third party whether entered into before or after this payment arrangement;
(d) May be validly sent or served to me in person, electronically or by post to either the mobile number, the email address or postal address (which may include a post office box address) I have provided above;
(e) I understand that this agreement in relation to communications etc extends beyond this payment arrangement and shall survive termination or expiration of this payment arrangement (including through repayment). I agree that this agreement can be assigned to third parties to whom I owe money (even if such debt arises after the date of this agreement). I also agree that this agreement is governed by the laws of New South Wales, Australia and irrevocably and unconditionally submit to the non-exclusive jurisdiction of the courts of New South Wales, Australia and Commonwealth courts with jurisdiction in that state;
(f) I agree to advise DebtManagers of any changes to my mobile number, email address or postal address and that if I fail to do so I will still be treated as having received copies of all relevant documents provided to a number or an address listed above in this form

I agree