Language
English (UK)
PAYMENT REQUISITION FORM
Strata Plan
*
Property Address
*
Unit Number or Lot Number
*
Date work was completed
*
/
Month
/
Day
Year
Date
Payment / Reimbursement to
*
Payee Postal Address
*
Payee Contact Number
*
Payee Email Address
*
example@example.com
Description for payment
*
$ Amount for Payment
*
BANK DETAILS
Bank Details of where payment is to be made
Account Name
*
BSB
*
Account Number
*
DECLARATION
*
confirm that the above is true and correct
confirm that Committee Approval has been obtained for this payment request
Signed
*
Clear
Name
*
Date
*
/
Month
/
Day
Year
SUPPORTING DOCUMENTATION
Copies of tax invoices and supporting documentation MUST be attached including Committee Approval
*
Copies of tax invoices and supporting documentation attached
Committee approval attached
File/s Upload
*
Browse Files
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Upload all supporting documentation.
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of
Liability limited by a scheme approved under Professional Standards Legislation
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