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Offer to Pay by Instalments
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Please answer the following questions before sending us your offer of payment. We will contact you with the outcome of your request - if we are unable to accept your offer we will contact you again to discuss other options that may be available to you.
About You
Council Tax Reference Number (from your bill / reminder. For example, 0003745080):
mandatory field
Forename(s):
mandatory field
Surname:
mandatory field
Are there other adults liable for Council Tax living at the property?
Are there other adults liable for Council Tax living at the property? mandatory field
Yes
No
Postcode:
mandatory field
To allow us to respond to your request quickly, please provide the following contact details.
Telephone number:
Email:
Are you happy for us to send all future bills to you by email?
Are you happy for us to send all future bills to you by email? mandatory field
Yes
No
Employment Status
Are you:
Are you: mandatory field
Employed
Self employed
Not working
Employers name:
mandatory field
Employment Adress
Postcode:
My address is not listed
Address line 1:
mandatory field
Address line 2:
Address line 3:
Town/city:
mandatory field
County:
mandatory field
Postcode:
mandatory field
Other Details
Work / Payroll Number:
National Insurance Number:
Other Adult Employment Status
Are they:
Are they: mandatory field
Employed
Self employed
Not working
Employers name:
mandatory field
Employment Adress
Postcode:
My address is not listed
Address line 1:
mandatory field
Address line 2:
Address line 3:
Town/city:
mandatory field
County:
mandatory field
Postcode:
mandatory field
Other Details
Work / Payroll Number:
National Insurance Number:
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