Payment Plan Instruction

Payment Plan Instruction Form

Payment plan is an arrangement with the Australian Taxation Office (ATO) or its debt collection agents where your debt is paid off by regular payments over an extended period.
Tax File Number
Australian Business Number
Name
Mobile Number
Email

What type of tax debt you are applying for?

Income Tax AccountIntegrated Client Account (GST / PAYG)
Current Debt amount ($)
Upfront Payment (%)
minimum 5% of debt
What date would you like to make the first payment?

DayMonthYear
Date
How often do you make the payment?
Payment Plan Term (Months)
General Interest Charge Rate (%)
Estimate Upfront Payment
Estimated Ongoing Repayment
Payment method

BPAY / Bank TransferDirect Debit
To avoid missing the payment due dates, we strongly recommend to setup auto schedule transfer/BPay with your online banking.
Please download and complete the ATO Direct Debit Form.
Please upload a signed direct debit authorisation form.

Cancelof

Terms and Condition

Please read the terms and conditions below carefully. If you have any questions please contact our office on (03) 8594 3885
This payment plan is proposed only and therefore:
- It is subject to ATO final approval.
- ATO reserve the right to decline proposed payment plans even if the conditions are satisfied.
- Taxpayer compliance history and credit history might also be considered for payment plan application.
If the payment plan is granted by the ATO, it is important to note that:
- The taxpayer will be posted formal notification of the plan. The notification will detail the debt amount, regular payment amount, payment due dates and payment methods.
- Any future credits or refunds received will go towards paying off the outstanding debt.
- General Interest Charge (GIC) will accrue until the debt is fully paid off.
- Additional voluntary payments can be made at any time, but they do not replace scheduled payments.
- All the instalments under this arrangement need to be paid on or before the agreed date to avoid defaulting the arrangement.
- All future tax returns and activity statements must be lodged on time and paid in full by their due date, otherwise the payment plan is cancelled by the ATO.
- Future debts are not automatically included in the existing payment plan.
Declaration by Taxpayer

I hereby declared that the information provided above are true and correct. I authorise Revis Advisory to apply payment plan on behalf of us. I have read and understood the terms and condition of payment plan as provided in Part C of this form.
Signed by taxpayer / public officer

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Payment Plan Instruction Form

Terms and Condition

Declaration by Taxpayer