Payment Arrangement Form

If you are experiencing financial difficulty, please complete the details below in order for your offer of payment to be issued directly to a Revenues Officer for consideration. You will be contacted in due course with the outcome of your offer.

Full name

Your address

Council Tax account number

Telephone number

Email address

National Insurance number

I wish to propose a payment plan of (£)

Please choose a timeframe for your payment plan i.e. weekly, monthly etc.

Please enter the date when you would make your first payment

Have you, or are you intending to make a payment within the next 7 days? If so, please confirm on which date and for how much

Information about your financial circumstances which may affect your ability to pay. If you are listing other active debts, please provide full details of these, how much is paid monthly, and how much is outstanding

Your offer of payment will be considered as soon as possible, however please allow for at least 2 - 3 weeks for an outcome to be received. Whilst you're awaiting an outcome, please begin to make payments to show commitment for an arrangement.

Data Protection

Ashford Borough Council is the data controller for the personal information you provide in this form. Ashford Borough Council’s Data Protection Officer can be contacted at FOI@ashford.gov.uk. We will use your details from this form to consider and administer a Council Tax payment plan, and the lawful basis for processing is public task and legal obligation.We will not share your information with third parties unless required or permitted to do so by law. Your information is retained in accordance with Council retention policies for 7 years. For more information, including your rights, please see the Council’s privacy notice.

Please tick this box to consent to the above use of your data

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